Contract Details
TherapySouth
Facility name
TherapySouth Helena
Provider ID
P000008630
NPI
1578016531
Tax ID
812594432
Effective Date
6/1/2016
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4690 Highway 17
Helena, AL 35080
United States
County
Shelby
Phone
2056244708 (Phone)
Billing Details
Address
4690 Highway 17
Helena, AL 35080
Billing Phone
2056244708
Specialty Type
Physical Therapy
Map
Address