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Contract Details
Vulcan Performance Rehabilitation and Recovery
Facility name
Refine PT and Performance
Provider ID
P000000001
NPI
1053822312
Tax ID
831599016
Effective Date
11/7/2023
Last Updated
11/15/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1111 Knight Street SE
Decatur, AL 35601
United States
Phone
256-973-1552
(
Phone
)
Billing Details
Address
1111 Knight Street SE
Decatur, AL 35601
Billing Phone
256-973-1552
Specialty Type
Physical Therapy
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