RUSSELLVILLE HOSPITAL LLC NPI 1033253141

NPI Information

NPI: 1033253141
Provider Name: RUSSELLVILLE HOSPITAL LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0302636

Address:
15155 HIGHWAY 43
RUSSELLVILLE, AL
ZIP 35653
Phone: (256) 332-1611
Get Directions

RUSSELLVILLE HOSPITAL LLC is a family medicine in Russellville, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RUSSELLVILLE HOSPITAL LLC NPI is 1033253141. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

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

The provider's authorized official is Donald J. Bivacca .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The CLIA number assigned to this NPI record is 01D0302636 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/28/2014.

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	Primary
1	207L00000X	Anesthesiology		No
2	207P00000X	Emergency Medicine		No
3	207R00000X	Internal Medicine		No
4	207V00000X	Obstetrics & Gynecology		No
5	2085R0202X	Radiology	Diagnostic Radiology	No
6	208600000X	Surgery		No
7	207Q00000X	Family Medicine		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	J135	MEDICARE ID-TYPE UNSPECIFIED

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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