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Contract Details
Facility name
TherapySouth Chelsea
Provider ID
P000003530
NPI
1528324589
Tax ID
454675823
Effective Date
7/25/2012
Last Updated
2/27/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
100 Chelsea Corners Way Suite 100
Chelsea, AL 35043
United States
County
Shelby
Phone
2056787272
(
Phone
)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
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Address