Organization
MIZELL MEMORIAL HOSPITAL
Active
Parent organization
MIZELL MEMORIAL HOSPITAL
Other names
Mizell Memorial Hospital Swing Bed Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIZELL MEMORIAL HOSPITAL
Authorized official
JANA WYATT (CEO)
(334) 493-9111
Entity
Organization
Contact information
Practice address
702 N MAIN ST, OPP, AL 36467-1626
(334) 493-3541
Mailing address
PO BOX 1010, OPP, AL 36467-1010
(334) 493-3541
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
12/24/2019
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