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Organization

MIZELL MEMORIAL HOSPITAL, INC.

Active
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Organization

MIZELL MEMORIAL HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANA WYATT CPA (CHIEF EXECUTIVE OFFICER)
(334) 493-9111
Entity
Organization

Contact information

Practice address
702 N MAIN ST, OPP, AL 36467-1626
(334) 493-3541
(334) 493-9433
Mailing address
PO BOX 1010, OPP, AL 36467-1010
(334) 493-3541
(334) 493-3789

Taxonomy

Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
—
NULL
273R00000X
Psychiatric Hospital Unit
—
AL
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
AL
282NR1301X
Rural Acute Care Hospital
Primary
11789
AL

Other

Enumeration date
07/19/2006
Last updated
12/24/2019
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