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Contract Details
HealthWorx
Facility name
HealthWorx
Provider ID
P000003465
NPI
1851687719
Tax ID
452197019
Effective Date
6/19/2017
Last Updated
7/11/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
114 Wildwood Parkway
Homewood, AL 35209
United States
County
Jefferson
Phone
2053709437
(
Phone
)
Billing Details
Address
114 Wildwood Parkway
Homewood, AL 35209
Billing Phone
2053709437
Specialty Type
Physical Therapy
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Address