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Contract Details
Align Networks, Inc.
Facility name
HealthSouth Lakeshore Rehabilitation Hospital
Provider ID
P000002531
NPI
1992778617
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
3/3/2014
Direct Contract
No
Term Date
3/3/2014
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3800 Ridgeway Drive
Birmingham, AL 35209
United States
County
Jefferson
Phone
8663890211
(
Phone
)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Hospital, Rehabilitation
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Address