Andrew Lane    Hutchinson    RPT
Contract Details
Rehab Associates--Bessemer-Morgan Village
Facility name
Provider ID
P000000815
NPI
1144526203
Tax ID
721379381
Effective Date
3/1/1999
Last Updated
10/8/2018
Direct Contract
Yes
Term Date
10/28/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
8000 Liberty Parkway Suite 108
Birmingham, AL 35242
United States
County
Shelby
Phone
2054810670 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
7244653496
Specialty Type
Physical Therapy
Map
Address