Contract Details
Align Networks, Inc.
Facility name
Champion Sports Medicine & Rehab Center - Birmingham Southern College
Provider ID
P000003350
NPI
1568742252
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
900 Arkadelphia Road
Birmingham, AL 35254
United States
County
Jefferson
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address