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General NPI Number Information
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NPI Number | 1871644435
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Entity Type | Organization
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Legal Business Name | MARSHALL MEDICAL CENTER NORTH
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2320 HOMER CLAYTON DR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-2206
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Country | US
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Telephone | 256-582-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 HOMER CLAYTON DR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-2206
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Country | US
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Telephone | 256-582-7500
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. KATHY B. NELSON
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Credential | CPA
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Telephone | 256-894-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | L4802
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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