RUSSELLVILLE HOSPITAL INC NPI 1508491093

NPI Information

NPI: 1508491093
Provider Name: RUSSELLVILLE HOSPITAL INC

Doing Business As: RUSSELLVILLE HOSPITAL FAMILY CARE FIRST CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 01D2025230

Address:
13150 HIGHWAY 43 STE 10
RUSSELLVILLE, AL
ZIP 35653
Phone: (256) 332-5901
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RUSSELLVILLE HOSPITAL INC is a rural health clinic center in Russellville, AL. RUSSELLVILLE HOSPITAL INC NPI is 1508491093. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Russellville Hospital Family Care First Clinic.

The provider's business location address is:

13150 HIGHWAY 43 STE 10
RUSSELLVILLE, AL
ZIP 35653-566
Phone: (256) 332-5901

The provider's authorized official is Ashoke Mukherji .
The authorized official title is Ceo and has the following contact phone number (615) 732-0768.

The CLIA number assigned to this NPI record is 01D2025230 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2020 and was last updated on 11/21/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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