Contract Details
Facility name
Cullman Sportsfit & Wellness Center
Provider ID
P000002071
Tax ID
630819208
Effective Date
1/1/1997
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
10/8/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
17721 Highway 31 North
Cullman, AL 35058
United States
County
Cullman
Phone
2567390039 (Phone)
Billing Details
Address
17721 Highway 31 North
Cullman, AL 35058
Billing Phone
2567390039
Specialty Type
Physical Therapy
Map
Address