Contract Details
Facility name
Human Performance and Rehabilitation Centers - Phenix City
Provider ID
P000002604
Tax ID
581972171
Effective Date
9/15/1996
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
5/15/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1810 Stadium Drive
Phenix City, AL 36867
United States
County
Russell
Phone
7063200927 (Phone)
Billing Details
Address
P.O. Box 8068
Columbus, GA 31908
Billing Phone
7063205482
Specialty Type
Physical Therapy
Map
Address