Contract Details
Facility name
Surgery Center of Cullman
Provider ID
P000002448
NPI
1669481255
Tax ID
203489003
Effective Date
12/1/1997
Last Updated
8/29/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1403 Wall Street Northeast
Cullman, AL 35055
United States
County
Cullman
Phone
2567362811 (Phone)
Billing Details
Address
1403 Wall Street Northeast
Cullman, AL 35055
Billing Phone
2567362811
Specialty Type
Ambulatory Surgical Facility
Map
Address