Christy    Myrick    CRNP
Contract Details
Hartselle Occupational Health
Facility name
Provider ID
P000000001
NPI
1902287295
Tax ID
462447900
Effective Date
10/1/2021
Last Updated
3/29/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1549 US-31
Hartselle, AL 35640
United States
Phone
256-735-5997 (Phone)
Billing Details
Address
1549 US-31
Hackleburg, AL 35640
Billing Phone
256-735-5997
Specialty Type
Nurse Practitioner
Website
Visit Website
Workers Comp Coordinator
Brandon
Evans
256-735-5920
brandon.evans@cullmanregional.com
Map
Address