MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE NPI 1003008376

Clinic/Center (Primary Care)

MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE

Marshall Medical Center North Jones Pediatric Practice is a clinic/center in Guntersville, AL. Marshall Medical Center North Jones Pediatric Practice NPI is 1003008376. The provider's taxonomy code is 261QP2300X - Clinic/Center.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003008376
Provider Name: MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 08-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 04-20-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: VICKY R HICKS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: DIRECTOR - PM
Authorized Official Phone: (256) 891-3144


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1261QP2300X Additional informationCallout TooltipTaxonomy Code - 261QP2300X


Ambulatory Health Care FacilitiesClinic/CenterPrimary Care26482ALYes

Map Location


MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE address is 45 MEDICAL PARK DR B GUNTERSVILLE, AL 35976 Get Directions