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Contract Details
Facility name
Hueytown Rehab
Provider ID
P000002374
Tax ID
631156852
Effective Date
4/1/1999
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2804 Allison Bonnett Memorial Drive
Hueytown, AL 35023
United States
County
Jefferson
Phone
2057447311
(
Phone
)
Billing Details
Address
P.O. Box 175
Trussville, AL 35173
Billing Phone
2057447311
Specialty Type
Physical Therapy
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Address