Allison  W  Fowlkes    RPT
Contract Details
Rehab Associates--Greenville
Facility name
Provider ID
P000000565
NPI
1245332113
Tax ID
721379381
Effective Date
1/1/1996
Last Updated
6/5/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
100 Adams Street
Greenville, AL 36037
United States
County
Butler
Phone
3343825308 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address