Contract Details
Facility name
Performance Group Albertville
Provider ID
P000002327
NPI
1669481222
Tax ID
342056045
Effective Date
4/1/2006
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4198 Highway 431 Suite D
Albertville, AL 35951
United States
County
Marshall
Phone
2568943870 (Phone)
Billing Details
Address
P.O. Box 660708
Birmingham, AL 35266
Billing Phone
2568943870
Specialty Type
Physical Therapy
Map
Address