RUSSELLVILLE HOSPITAL INC (NPI# 1508491093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508491093 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE HOSPITAL INC |
| Practice Address |
11809 Al Highway 157 Ste E Moulton AL 35650-2708 |
| Mailing Address |
Po Box 1216 Russellville AL 35653-1216 |
| Practice Telephone | 2569050340 |
| Practice Fax Number | 2569050346 |
| Mailing Telephone | 2563312770 |
| Mailing Fax Number | 2563312777 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | ASHOKE MUKHERJI (CEO) |
| Authorized Official Telephone | 6157320768 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Russellville Hospital Family Care First Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232314 | Russellville Hospital Inc | Family Medicine | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-08-27 |
| 1033671631 | Russellville Hospital Inc | Internal Medicine | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-04-02 |
| Street Address |
11809 AL HIGHWAY 157 STE E |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124062286 | Attentus Moulton, LLC | Clinic/Center | 10939 Al Highway 157, Moulton, AL 35650-1900 | 2006-06-16 |
| 1760930200 | Attentus Moulton, LLC | Clinic/Center | 40 Medical Cir, Moulton, AL 35650-1256 | 2016-09-13 |
| 1699194308 | Attentus Moulton, LLC | Clinic/Center | 94 Medical Cir, Moulton, AL 35650-1256 | 2014-04-09 |
| 1801238787 | Lakeshore Pediatrics PC | Clinic/Center | 12521 Al Highway 157 Ste B, Moulton, AL 35650-1937 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1487123915 | Physicians Care of Camden LLC | Clinic/Center | 24b Camden Byp, Camden, AL 36726-1770 | 2018-11-14 |
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.