Contract Details
Align Networks, Inc.
Facility name
TherapySouth Pelham
Provider ID
P000002469
NPI
1730286964
Tax ID
043821114
Effective Date
10/1/2007
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3569 Pelham Parkway Suite 7
Pelham, AL 35124
United States
County
Shelby
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address