Contract Details
Facility name
Tuscaloosa Rehab and Hand Center
Provider ID
P000003453
NPI
1235171026
Tax ID
202215246
Effective Date
5/15/2005
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
70.00
Location Details
Address
3835 Watermelon Road Suite E
Northport, AL 35473
United States
County
Tuscaloosa
Phone
2057592211 (Phone)
Billing Details
Address
3835 Watermelon Road
Suite E
Northport, AL 35473
Billing Phone
2057592211
Specialty Type
Physical Therapy
Map
Address