Contract Details
Facility name
TherapySouth Lakeview
Provider ID
P000007522
NPI
1558704841
Tax ID
462152750
Effective Date
2/15/2012
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
720 32nd Street South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2057312177 (Phone)
Billing Details
Address
720 32nd Street South
Birmingham, AL 35233
Billing Phone
2057312177
Specialty Type
Physical Therapy
Map
Address