# MIZELL MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIZELL MEMORIAL HOSPITAL
- **Other names:** Mizell Memorial Hospital Swing Bed Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962056143
- **Legal business name:** MIZELL MEMORIAL HOSPITAL
- **Authorized official:** JANA WYATT (CEO)
- **Authorized official phone:** (334) 493-9111

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 12/24/2019