Organization
MARSHALL MEDICAL CENTER NORTH
Active
Other names
Medical Center Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY B. NELSON C.P.A. (CHIEF FINANCIAL OFFICER)
(256) 894-6600
Entity
Organization
Contact information
Practice address
2307 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2205
(256) 571-8003
Mailing address
2307 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2205
(256) 571-8003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
H4804
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51043386
BCBS
AL
05
—
MED7128A
—
AL
Enumeration date
03/29/2007
Last updated
08/22/2020
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