Contract Details
Medxsys Ancillary Services
Facility name
IPT
Provider ID
P000007249
NPI
1346686490
Tax ID
454446228
Effective Date
8/1/2013
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
11/8/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
120-B Oxmoor Court
Birmingham, AL 35209
United States
County
Jefferson
Phone
2052992146 (Phone)
Billing Details
Address
P.O. Box 1569
Pelham, AL 35124
Billing Phone
8665357631
Specialty Type
Physical Therapy
Map
Address