Healthcare Provider Details

I. General information

NPI: 1235744806
Provider Name (Legal Business Name): NORTHWEST MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CARRAWAY DR
WINFIELD AL
35594-5072
US

IV. Provider business mailing address

1530 US HIGHWAY 43
WINFIELD AL
35594-5056
US

V. Phone/Fax

Practice location:
  • Phone: 205-487-7556
  • Fax:
Mailing address:
  • Phone: 205-487-7179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHY A. MITCHELL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 205-487-7555