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Contract Details
Facility name
North River Therapy
Provider ID
P000007720
NPI
1982951026
Tax ID
460696245
Effective Date
3/13/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
400 McFarland Boulevard Suite F
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2053335351
(
Phone
)
Billing Details
Address
400 McFarland Boulevard
Suite F
Northport, AL 35476
Billing Phone
2053335351
Specialty Type
Physical Therapy
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Address