Contract Details
Facility name
TherapySouth Green Valley
Provider ID
P000000001
NPI
1881216695
Tax ID
844770285
Effective Date
1/1/2020
Last Updated
5/26/2020
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1550 Montgomery Highway Suite L
Vestavia Hills, AL 35216
United States
Phone
205-855-5800 (Phone)
Billing Details
Address
2823 Greystone Commercial Blvd
Birmingham, AL 35242
Billing Phone
205-745-3660
Specialty Type
Physical Therapy