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Contact Information

MIZELL MEMORIAL HOSPITAL, INC.
702 N MAIN ST
OPP, AL36467-1626
 Phone: 334-493-3541
 Fax: 334-493-9433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural

282NR1301X
 

Lithotripsy

261QL0400X
 

Medicare Defined Swing Bed Unit

275N00000X A0[7] Hospital-Swing Bed Approved
 

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for MIZELL MEMORIAL HOSPITAL, INC.

NPI # 1013937705
LBN Legal business name MIZELL MEMORIAL HOSPITAL, INC.
Authorized official JANA WYATT - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 12/24/2019 - About 6 years ago
Identifiers
AL License # 11789
AL Medicaid HOS0007H
AL Other 010095 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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