Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab at Jackson Medical Center
Provider ID
P000002110
NPI
1649613142
Tax ID
631225408
Effective Date
8/10/2000
Last Updated
9/12/2019
Direct Contract
Yes
Term Date
8/31/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
220 Hospital Drive Building B
Jackson, AL 36545
United States
County
Clarke
Phone
2512461214 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address