# MISSION MEDICAL, INC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982136123
- **Authorized official:** CAROLEE COSBY (OFFICE MANAGER)
- **Authorized official phone:** (256) 857-1223

## Contact information

- **Practice address:** 124 JACKSON AVE S STE C, RUSSELLVILLE, AL 35653-2232
- **Practice address phone:** (256) 398-7212
- **Practice address fax:** (256) 398-7213
- **Mailing address:** 124 JACKSON AVE S STE C, RUSSELLVILLE, AL 35653-2232
- **Mailing address phone:** (256) 398-7212
- **Mailing address fax:** (256) 398-7213

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 06/03/2025