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MARSHALL MEDICAL CENTER SOUTH CERIMELE FAMILY PRACTICE NPI 1760550966


NPI Information

NPI: 1760550966
Provider Name: MARSHALL MEDICAL CENTER SOUTH CERIMELE FAMILY PRACTICE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2059306

Address:
312 SAND MOUNTAIN DR SE
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 894-5621
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MARSHALL MEDICAL CENTER SOUTH CERIMELE FAMILY PRACTICE is a primary care clinic center in Albertville, AL. MARSHALL MEDICAL CENTER SOUTH CERIMELE FAMILY PRACTICE NPI is 1760550966. The provider is registered as an organization entity type.

The provider's business location address is:

312 SAND MOUNTAIN DR SE
ALBERTVILLE, AL
ZIP 35950-330
Phone: (256) 894-5621
Fax: (256) 894-5727

The provider's authorized official is Kathy Nelson .
The authorized official title is Cfo and has the following contact phone number (256) 894-6623.

The CLIA number assigned to this NPI record is 01D2059306 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareALABAMAYes

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

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