MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE NPI 1003008376

Clinic/Center (Primary Care) in Guntersville, AL

About MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE

Marshall Medical Center North Jones Pediatric Practice is a provider in Guntersville, AL. The NPI number assigned to this provider is 1003008376. The practitioner's primary taxonomy code is Clinic/Center (261QP2300X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003008376 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE
Provider Location Address45 MEDICAL PARK DR B GUNTERSVILLE, AL 35976 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address227 BRITTANY RD GUNTERSVILLE, AL 35976 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization 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 Date08-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-20-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE
45 MEDICAL PARK DR
B
GUNTERSVILLE, AL
ZIP 35976
Phone: (256) 571-8969
Fax: (256) 571-8980
Get Directions

Mailing Address

MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE
227 BRITTANY RD
GUNTERSVILLE, AL
ZIP 35976
Phone: (256) 891-3144
Fax: (256) 878-1742

Primary Taxonomy

Taxonomy Code261QP2300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care
License No.26482
License StateAL

Authorized Official

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 TitleDIRECTOR - PM
Authorized Official Phone(256) 891-3144

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========OTHER (01)AL

Map Location


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

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265791495 AMBER NICHOLE BISHOP M.D.
Individual
Pediatrics45 MEDICAL PARK DR SUITE B
GUNTERSVILLE, AL 35976
(256) 571-8969
1508939638 MAEGAN GARMANY CRNP
Individual
Nurse Practitioner (Family)45 MEDICAL PARK DR SUITE B
GUNTERSVILLE, AL 35976
(256) 571-8972
1649327511 ALICIA PELLEGRINO EWING MD
Individual
Pediatrics45 MEDICAL PARK DR SUITE B
GUNTERSVILLE, AL 35976
(256) 571-8969
1891998886 SARAH BAILEY RHODES M.D.
Individual
Pediatrics45 MEDICAL PARK DR SUITE B
GUNTERSVILLE, AL 35976
(256) 571-8972