Contract Details
Facility name
TherapySouth Jasper
Provider ID
P000000001
NPI
1861961666
Tax ID
830750721
Effective Date
12/1/2018
Last Updated
8/13/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
200 North Airport Road Suite 110
Jasper, AL 35504
United States
Phone
205-687-3266 (Phone)
Billing Details
Address
200 North Airport Road
Suite 110
Jasper, AL 35504
Billing Phone
205-687-3266
Specialty Type
Occupational Therapy Facility
Map
Address