Contract Details
Facility name
TherapySouth Homewood
Provider ID
P000008413
NPI
1114304474
Tax ID
473390242
Effective Date
3/16/2016
Last Updated
9/10/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1280 Columbiana Road Suite 160
Birmingham, AL 35216
United States
County
Jefferson
Phone
2059681283 (Phone)
Billing Details
Address
1280 Columbiana Road
Suite 160
Birmingham, AL 35216
Billing Phone
205-968-1283
Specialty Type
Physical Therapy
Map
Address