Contract Details
Craddock Health Center, P.C.
Facility name
Craddock Health Center
Provider ID
P000009325
Tax ID
630981314
Effective Date
3/1/2019
Last Updated
3/1/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
209 West Spring Street Suite 200
Sylacauga, AL 35150
United States
County
Talladega
Phone
2562455241 (Phone)
Billing Details
Address
209 West Spring Street
Suite 200
Sylacauga, AL 35150
Billing Phone
2562455241
Specialty Type
Internal Medicine
Map
Address