Contract Details
Facility name
Cullman Regional Orthopedics & Sports Medicine
Provider ID
P000002070
NPI
1528006996
Tax ID
631157261
Effective Date
6/1/1999
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1942 Highway 157
Cullman, AL 35058
United States
County
Cullman
Phone
2567375115 (Phone)
Billing Details
Address
P.O. Box 867
Cullman, AL 35056
Billing Phone
2567375115
Specialty Type
Surgery, Orthopedic
Map
Address