Contract Details
Facility name
Pain Management Services - EDTEST
Provider ID
P000002320
NPI
1477680924
Tax ID
721378440
Effective Date
6/15/1999
Last Updated
3/2/2020
Direct Contract
No
Status
Active
Contract Discounts
State Fee Schedule Multiplier
12.22
Billed Charges Multiplier
333.33
Fee Schedule Multiplier
aaa
Location Details
Address
513 Brookwood Boulevard
Birmingham, AL 35209
United States
Phone
205-802-6565 (Phone)
Billing Details
Address
513 Brookwood Boulevard
Birmingham, AL 35209
Billing Phone
205-802-6565
Specialty Type
Physical Therapy
Map
Address