RUSSELLVILLE HOSPITAL INC. NPI 1114095049

NPI Information

RUSSELLVILLE HOSPITAL INC. is a medicare defined swing bed unit in Russellville, AL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. RUSSELLVILLE HOSPITAL INC. NPI is 1114095049. The provider is registered as an organization entity type.
The provider Is Doing Business As Russellville Hospital Swing Bed Unit.

The provider's business location address is:

15155 HIGHWAY 43
RUSSELLVILLE, AL
ZIP 35653-975
Phone: (256) 332-1611
Fax: (256) 332-8674

The provider's authorized official is Stephen N. Clapp .
The authorized official title is President/ceo and has the following contact phone number (865) 269-4074.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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