Contract Details
Align Networks, Inc.
Facility name
Champion Sports Medicine
Provider ID
P000003348
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
Term Date
8/22/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3400 Independence Drive
Birmingham, AL 35209
United States
County
Jefferson
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
Specialty Type
Physical Therapy
Map
Address