=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649119801
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2026
-----------------------------------------------------
Last Update Date | 03/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 617 W MAIN ST
-----------------------------------------------------
City | HOHENWALD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38462-1355
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-242-7782
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 416 S TYLER ST
-----------------------------------------------------
City | AMARILLO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79101-2346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-242-7782
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT, PHARMACY SERVICES
-----------------------------------------------------
Name | JOEL WRIGHT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 806-242-7782
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------