Healthcare Provider Details

I. General information

NPI: 1902741432
Provider Name (Legal Business Name): RUSSELL MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 HIGHWAY 280
ALEX CITY AL
35010-3369
US

IV. Provider business mailing address

3316 HIGHWAY 280
ALEX CITY AL
35010-3369
US

V. Phone/Fax

Practice location:
  • Phone: 256-329-7861
  • Fax:
Mailing address:
  • Phone: 256-329-7861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH LOGGINS
Title or Position: QUALITY INFECTION CONTROL MANAGER
Credential: RN
Phone: 256-329-7861