MIZELL MEMORIAL HOSPITAL INC. NPI 1013937705

NPI Information

NPI: 1013937705
Provider Name: MIZELL MEMORIAL HOSPITAL, INC.
Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

Address:
702 N MAIN ST
OPP, AL
ZIP 36467
Phone: (334) 493-3541
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MIZELL MEMORIAL HOSPITAL, INC. is a rural general acute care hospital in Opp, AL. MIZELL MEMORIAL HOSPITAL, INC. NPI is 1013937705. The provider is registered as an organization entity type.

The provider's business location address is:

702 N MAIN ST
OPP, AL
ZIP 36467-626
Phone: (334) 493-3541
Fax: (334) 493-9433

The provider's authorized official is Jana Wyatt .
The authorized official title is Chief Executive Officer and has the following contact phone number (334) 493-9111.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 12/24/2019.

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	261QL0400X	Clinic/Center	Lithotripsy			No
2	273R00000X	Psychiatric Unit			ALABAMA	No
3	275N00000X	Medicare Defined Swing Bed Unit			ALABAMA	No
4	282NR1301X	General Acute Care Hospital	Rural	11789	ALABAMA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010095	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
2	HOS0007H	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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