Contract Details
Facility name
TherapySouth Riverchase
Provider ID
P000007957
NPI
1760894026
Tax ID
465402742
Effective Date
7/1/2019
Last Updated
7/19/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2279 Valleydale Road Suite 200
Birmingham, AL 35244
United States
County
Jefferson
Phone
2058749523 (Phone)
Billing Details
Address
2823 Greystone Commercial Blvd.
Birmingham, AL 35242
Billing Phone
2057453660
Specialty Type
Physical Therapy
Map
Address