Organization Name: | MARSHALL MEDICAL CENTER NORTH FAMILY MEDICAL CENTER |
NPI Number: | 1225313513 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY B NELSON (CFO) |
Mailing Address: | 7938 Al Highway 69 Suite 360 Guntersville |
State: | AL US |
Postal Code: | 359767134 |
Phone Number: | 2565718580 |
Fax Number: | 2565718585 |
NPI Enumeration Date: | 10/18/2011 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | MD.31188 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |