Contract Details
Facility name
TherapySouth Andalusia
Provider ID
P000008770
NPI
1306379797
Tax ID
820707973
Effective Date
6/1/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
811 B West Bypass
Andalusia, AL 36420
United States
County
Covington
Phone
3342222620 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
Map
Address