Contract Details
Facility name
Universal SmartComp
Provider ID
P000002619
Tax ID
300469665
Effective Date
11/2/2011
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
9/12/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
480 Johnson Road
Washington, PA 15301
United States
County
Washington
Phone
7242061500 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address