Contract Details
Southern Physical Rehab Network
Facility name
TherapySouth Pell City
Provider ID
P000002466
NPI
1801991880
Tax ID
205365997
Effective Date
12/5/2006
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
85 Plaza Drive
Pell City, AL 35125
United States
County
Saint Clair
Phone
2053386106 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address