Contract Details
Facility name
TherapySouth Gardendale
Provider ID
P000000001
NPI
1407569346
Tax ID
920493198
Effective Date
3/1/2023
Last Updated
3/8/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1011 Main Street
Gardendale, AL 35071
United States
Phone
205-651-4350 (Phone)
Billing Details
Address
1011 Main Street
Birmingham, AL 35071
Billing Phone
205-745-3660
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address