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
6/24/2021
Direct Contract
Yes
Term Date
6/30/2021
Status
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
426 South 4th Street
Cullman, AL 35901
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address