Organization Name: | RUSSELL HOSPITAL CORPORATION |
NPI Number: | 1306980412 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOTHER PEACE (PRESIDENT CEO) |
Mailing Address: | 3316 Highway 280 Alexander City |
State: | AL US |
Postal Code: | 350103369 |
Phone Number: | 2563297109 |
Fax Number: | 2563297617 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 11873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |