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Contract Details
CRMC Medical Group, LLC
Facility name
Cullman Regional Spine
Provider ID
P000000001
NPI
1467083675
Tax ID
462447900
Effective Date
12/17/2020
Last Updated
1/11/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1300 Bridge Creek Drive NE
Cullman, AL 35055
United States
Phone
256-297-8935
(
Phone
)
Billing Details
Address
1300 Bridge Creek Drive NE
Cullman, AL 35055
Billing Phone
256-297-8935
Specialty Type
Surgery, Orthopedic
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