Contract Details
Facility name
TheraConnection
Provider ID
P000002465
NPI
1487647210
Tax ID
631231640
Effective Date
1/1/2007
Last Updated
5/14/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_137
Location Details
Address
4363 1st Avenue North Suite 301
Birmingham, AL 35222
United States
County
Jefferson
Phone
2055956990 (Phone)
Billing Details
Address
4363 1st Avenue North
Suite 302
Birmingham, AL 35222
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address