David  A  Bishop    RPT
Contract Details
Rehab Partners--Gadsden
Facility name
Provider ID
P000000136
NPI
1053315994
Tax ID
631038932
Effective Date
5/1/2006
Last Updated
9/9/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
426 South 4th Street
Gadsden, AL 35901
United States
County
Etowah
Phone
2565432981 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
Specialty Type
Physical Therapy
Map
Address