Neil    Yeager    MD
Contract Details
Community Urgent Care of Fultondale
Facility name
Provider ID
P000000001
NPI
1750503041
Tax ID
831826039
Effective Date
8/5/2020
Last Updated
8/26/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
s
State Fee Schedule Multiplier
80.00
Location Details
Address
1311 Decatur Highway Suite A
Fultondale, AL 35068
United States
Phone
205-379-6047 (Phone)
Billing Details
Address
1311 Decatur Highway
Suite A
Fultondale, AL 35068
Billing Phone
205-379-6047
Specialty Type
Family Practice
Workers Comp Coordinator
Misty
Petersen
205-379-6040
misty@communityurgentcare.org
Map
Address