Contract Details
Facility name
HealthLink
Provider ID
P000002186
NPI
1093925349
Tax ID
631149691
Effective Date
8/5/2005
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
10/8/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2124 4th Avenue South
Birmingham, AL 35233
United States
County
Jefferson
Phone
2052838006 (Phone)
Billing Details
Address
P.O. Box 59526
Birmingham, AL 35259
Specialty Type
Physical Therapy
Map
Address