Contract Details
Crestwood Physician Services, LLC
Facility name
Crestwood Workers Care
Provider ID
P000008433
Tax ID
273920921
Effective Date
5/18/2016
Last Updated
5/25/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
4810 Whitesport Circle Southwest Suite 215
Huntsville, AL 35801
United States
County
Madison
Phone
2564295248 (Phone)
Billing Details
Address
P.O. Box 689022
Franklin, TN 37068
Billing Phone
6154657000
Specialty Type
Occupational Medicine Facility
Map
Address