Contract Details
Facility name
Performance Group Birmingham
Provider ID
P000002328
NPI
1588673206
Tax ID
161738226
Effective Date
4/1/2006
Last Updated
1/3/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2017 Canyon Road Suite 21
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058228320 (Phone)
Billing Details
Address
4 Office Park Circle
Suite 219
Birmingham, AL 35223
Billing Phone
2058228320
Specialty Type
Physical Medicine & Rehabilitation
Map
Address