Contract Details
Southern Physical Rehab Network
Facility name
Wilhoite & Associates
Provider ID
P000002508
NPI
1881670099
Tax ID
631109638
Effective Date
8/28/1995
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
3/31/2015
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
651 Snow Street
Oxford, AL 36203
United States
County
Calhoun
Phone
2562417500 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address