Contract Details
Facility name
ErgoScience
Provider ID
P000002137
NPI
1811224074
Tax ID
631056458
Effective Date
11/22/2002
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
1/15/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
15 Office Park Circle Suite 214
Birmingham, AL 35223
United States
County
Jefferson
Phone
2058796447 (Phone)
Billing Details
Address
Specialty Type
Physical Therapy
Map
Address