Contract Details
Facility name
TherapySouth Huntsville
Provider ID
P000008412
NPI
1760850572
Tax ID
474653819
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
6485 University Drive Northwest Suite C
Huntsville, AL 35806
United States
County
Madison
Phone
2565138280 (Phone)
Billing Details
Address
6485 University Drive Northwest
Suite C
Birmingham, AL 35806
Billing Phone
2057453651
Specialty Type
Physical Therapy
Map
Address