Contract Details
Vaughan Regional Medical Center
Facility name
P T Plus
Provider ID
P000009020
Tax ID
621864231
Effective Date
6/17/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1013 Medical Center Pkwy J
Selma, AL 36701
United States
County
Dallas
Phone
3348722222 (Phone)
Billing Details
Address
1013 Medical Center Pkwy J
Selma, AL 36701
Billing Phone
3348722222
Specialty Type
Physical Therapy
Map
Address