Organization
MARSHALL MEDICAL CENTER SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY B. NELSON CPA (CHIEF FINANCIAL OFFICER)
(256) 894-6600
Entity
Organization
Contact information
Practice address
2505 US HWY 431 N, BOAZ, AL 35957-0758
(256) 593-8310
Mailing address
PO BOX 758, BOAZ, AL 35957-0758
(256) 593-8310
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11843
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096
BCBS
AL
05
—
HOS0005H
—
AL
Enumeration date
12/01/2006
Last updated
08/22/2020
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