Contract Details
Align Networks, Inc.
Facility name
Champion Sports Medicine & Rehabilitation Center - Livingston
Provider ID
P000002041
NPI
1982813234
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
University of West Alabama Station 14
Livingston, AL 35470
United States
County
Sumter
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address