Renee  H  Staude    CRNP
Contract Details
BHC Munford
Facility name
Provider ID
P000008087
NPI
1730295148
Tax ID
631146906
Effective Date
1/1/1996
Last Updated
2/9/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
48 North Cedars Road
Munford, AL 36268
United States
County
Talladega
Phone
2563584553 (Phone)
Billing Details
Address
P.O. Box 830605
Birmingham, AL 35283
Billing Phone
2563584553
Specialty Type
Nurse Practitioner
Map
Address