Contract Details
Facility name
Integrity Sports Medicine & Rehabilitation
Provider ID
P000003384
NPI
1073619227
Tax ID
203300796
Effective Date
9/15/2005
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1811 Dahlke Drive
Cullman, AL 35058
United States
County
Cullman
Phone
2567391370 (Phone)
Billing Details
Address
1811 Dahlke Drive
Cullman, AL 35058
Billing Phone
2567391370
Specialty Type
Physical Therapy
Map
Address