Contract Details
Craddock Health Center, P.C.
Facility name
Craddock Health Center
Provider ID
P000009324
NPI
1184669483
Tax ID
630981314
Effective Date
2/21/2019
Last Updated
2/28/2019
Direct Contract
Yes
Term Date
2/22/2019
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_410
Location Details
Address
209 W Spring Street #200
Sylacauga, AL 35150
United States
County
Talladega
Phone
2562455241 (Phone)
Billing Details
Address
209 W Spring Street
#200
Sylacauga, AL 35150
Billing Phone
2562455241
Specialty Type
Nursing Facility, Skilled Care
Map
Address