Contract Details
A Physiotherapy Associates Company
Facility name
Champion Sports Medicine & Rehabilitation Center - Calera
Provider ID
P000002046
NPI
1144522319
Tax ID
721379381
Effective Date
7/1/2005
Last Updated
4/12/2018
Direct Contract
Term Date
11/30/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
71 Limestone Parkway Suite B
Calera, AL 35040
United States
County
Shelby
Phone
2056681967 (Phone)
Billing Details
Address
P.O. Box 1245
Indiana, PA 15701
Billing Phone
Specialty Type
Physical Therapy
Map
Address