Contract Details
CRMC Medical Group, LLC
Facility name
Cullman Regional Family Care South
Provider ID
P000000001
NPI
1467083675
Tax ID
462447900
Effective Date
12/17/2020
Last Updated
1/11/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1705 Main Avenue SW Suite B
Cullman, AL 35055
United States
Phone
256-255-4442 (Phone)
Billing Details
Address
1705 Main Avenue SW
Suite B
Cullman, AL 35055
Billing Phone
Specialty Type
Urgent Care Facility
Website