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Organization

MARION REGIONAL MEDICAL CENTER, INC.

Active
Parent organization
MARION REGIONAL MEDICAL CENTER, INC.
Other names
Marion Regional Provider Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARION REGIONAL MEDICAL CENTER, INC.
Authorized official
MR. JOSEPH A REPPERT (CFO)
(662) 377-3978
Entity
Organization

Contact information

Practice address
1256 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 921-6200
(205) 921-6260
Mailing address
1256 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 921-6200
(205) 921-6260

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H4703
AL
367500000X
Certified Registered Nurse Anesthetist
H4703
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00995135
AL
05
00995235
AL
05
051555138
AL
05
051555191
AL
05
051555713
AL
05
529923560
AL
Enumeration date
03/13/2008
Last updated
04/16/2015
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