Contract Details
Align Networks, Inc.
Facility name
Champion Sports Medicine
Provider ID
P000003347
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Term Date
8/22/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1225 East Snow Street Suite 7 & 8
Oxford, AL 36203
United States
County
Calhoun
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address