Contract Details
Southern Physical Rehab Network
Facility name
TherapySouth Hoover
Provider ID
P000003445
NPI
1841388733
Tax ID
205370140
Effective Date
1/1/2009
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3421 South Shades Crest Road Suite 107
Birmingham, AL 35244
United States
County
Jefferson
Phone
2059876501 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address