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Contract Details
HealthActions Physical Therapy
Facility name
HealthActions
Provider ID
P000007146
NPI
1467444182
Tax ID
630815380
Effective Date
9/20/2007
Last Updated
2/28/2020
Direct Contract
No
Term Date
2/28/2020
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
16455 Highway 43 Suite 105
Grove Hill, AL 36451
United States
County
Clarke
Phone
2512754905
(
Phone
)
Billing Details
Address
16455 Highway 43
Suite 105
Jackson, AL 36451
Billing Phone
2512465761
Specialty Type
Physical Therapy
Map
Address