David  A  Bishop    RPT
Contract Details
Southern Physical Rehab Network
Facility name
Provider ID
P000000136
NPI
1053315994
Tax ID
631038932
Effective Date
6/1/1996
Last Updated
6/9/2014
Direct Contract
Yes
Term Date
8/30/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
Rehab Partners--Albertville 5926 Highway 431
Albertville, AL 35950
United States
County
Marshall
Phone
2568911137 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address