Healthcare Provider Details

I. General information

NPI: 1508934217
Provider Name (Legal Business Name): MARSHALL MEDICAL CENTER NORTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 AL HIGHWAY 69
GUNTERSVILLE AL
35976-7140
US

IV. Provider business mailing address

8000 AL HIGHWAY 69
GUNTERSVILLE AL
35976-7140
US

V. Phone/Fax

Practice location:
  • Phone: 256-570-8000
  • Fax:
Mailing address:
  • Phone: 256-571-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number11842
License Number StateAL

VIII. Authorized Official

Name: MS. KATHY B. NELSON
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 256-894-6600