Contract Details
Crestwood Physician Services, LLC
Facility name
Crestwood Workers Care
Provider ID
P000002602
Tax ID
273920921
Effective Date
10/25/2011
Last Updated
5/25/2016
Direct Contract
Yes
Term Date
5/18/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
4810 Whitesport Circle Southwest Suite 215
Huntsville, AL 35801
United States
County
Madison
Phone
2564294540 (Phone)
Billing Details
Address
4810 Whitesport Circle
Suite 215
Huntsville, AL 35801
Billing Phone
2564294540
Specialty Type
Occupational Medicine Facility
Map
Address