Contract Details
Align Networks, Inc.
Facility name
Over The Mountain Rehab
Provider ID
P000007158
NPI
1306111307
Tax ID
043821114
Effective Date
4/1/2013
Last Updated
4/12/2018
Direct Contract
No
Term Date
2/18/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2260 10th Avenue South Suite 707
Birmingham, AL 35205
United States
County
Jefferson
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address