Contract Details
Hand Clinic, Inc.
Facility name
Trussville Hand Clinic
Provider ID
P000007718
NPI
1760424246
Tax ID
203028684
Effective Date
3/1/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4901 Deerfoot Parkway Suite A
Trussville, AL 35173
United States
County
Jefferson
Phone
2059609995 (Phone)
Billing Details
Address
P.O. Box 723
Trussville, AL 35173
Billing Phone
2059609995
Specialty Type
Physical Therapy
Map
Address