Contract Details
Facility name
Rehab and Sports Medicine of The Shoals
Provider ID
P000002370
NPI
1003809955
Tax ID
202891413
Effective Date
10/1/2005
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2129 Helton Drive Suite C
Florence, AL 35630
United States
County
Lauderdale
Phone
2567649304 (Phone)
Billing Details
Address
2129 Helton Drive
Suite C
Florence, AL 35630
Billing Phone
2567649304
Specialty Type
Physical Therapy
Map
Address