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Contract Details
CRMC Medical Group, LLC
Facility name
Hartselle Occupational Health
Provider ID
P000000001
Tax ID
462447900
Effective Date
10/1/2021
Last Updated
3/18/2022
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1549 US-31
Hartselle, AL 35640
United States
Phone
256-735-5997
(
Phone
)
Fax
256-801-7898
Billing Details
Address
1549 US-31
Cullman, AL 35640
Billing Phone
256-737-2090
Specialty Type
Occupational Medicine Facility
Website
Visit Website
Workers Comp Coordinator
Christy
Myrick
256-438-6688
christy.myrick@cullmanregional.com
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