THE RUSSELL HOSPITAL CORPORATION NPI 1215953799

NPI Information

NPI: 1215953799
Provider Name: THE RUSSELL HOSPITAL CORPORATION
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: MEDICAL PARK FAMILY CARE
CLIA Number: 01D0981717
Address: 1034 S TALLASSEE ST
DADEVILLE, AL
ZIP 36853
Phone: (256) 825-9900

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NPI Details

THE RUSSELL HOSPITAL CORPORATION is a rural health clinic center in Dadeville, AL. THE RUSSELL HOSPITAL CORPORATION NPI is 1215953799. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Park Family Care.

The provider's business location address is:

1034 S TALLASSEE ST
DADEVILLE, AL
ZIP 36853-844
Phone: (256) 825-9900
Fax: (256) 825-6620

The provider's authorized official is Lother E Peace .
The authorized official title is President/ceo and has the following contact phone number (256) 329-7147.

The CLIA number assigned to this NPI record is 01D0981717 - other - hospital owned clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 2/13/2024.

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	261Q00000X	Clinic/Center		11873	ALABAMA	No
2	261QR1300X	Clinic/Center	Rural Health			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	CH4859	OTHER	ALABAMA	RAILROAD MEDICARE
2	529906130	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: 11/21/2025

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