# MARSHALL MEDICAL CENTER NORTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHALL MEDICAL CENTER NORTH
- **Other names:** Grant Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104149442
- **Legal business name:** MARSHALL MEDICAL CENTER NORTH
- **Authorized official:** MS. KATHY B NELSON CPA (CFO)
- **Authorized official phone:** (256) 894-6600

## Contact information

- **Practice address:** 4500 MAIN ST, GRANT, AL 35747-8303
- **Practice address phone:** (256) 728-8600
- **Mailing address:** P.O. BOX 11407, DEPT \#0132, BIRMINGHAM, AL 35246-0132
- **Mailing address phone:** (256) 728-8600
- **Mailing address fax:** (256) 728-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 03/15/2011