MEDICARE: MARSHALL MEDICAL CENTER NORTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	11842	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	188	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508934217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALL MEDICAL CENTER NORTH

Provider Business Mailing Address
First Line	:	8000 AL HIGHWAY 69
Second Line	:
City	:	GUNTERSVILLE
State	:	AL
Zip	:	35976-7140
Country	:	US
Telephone Number	:	256-571-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 AL HIGHWAY 69
Second Line	:
City	:	GUNTERSVILLE
State	:	AL
Zip	:	35976-7140
Country	:	US
Telephone Number	:	256-570-8000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MS. KATHY B. NELSON
Credential	:	CPA
Telephone Number	:	256-894-6600

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	08/07/2012

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Practice Location Address:

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Practice Fax:

Directions to “MARSHALL MEDICAL CENTER NORTH ” Practice Location

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