Contract Details
Southern Physical Rehab Network
Facility name
Rehab South
Provider ID
P000003420
NPI
1740291905
Tax ID
631050487
Effective Date
8/28/1995
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
3/31/2011
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2980 Highway 78 East
Jasper, AL 35501
United States
County
Walker
Phone
2053841941 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address