MIZELL MEMORIAL HOSPITAL, INC. (NPI# 1013937705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013937705 |
| Entity Type | Organization |
| Organization Name | MIZELL MEMORIAL HOSPITAL, INC. |
| Practice Address |
702 N Main St Opp AL 36467-1626 |
| Mailing Address |
Po Box 1010 Opp AL 36467-1010 |
| Practice Telephone | 3344933541 |
| Practice Fax Number | 3344939433 |
| Mailing Telephone | 3344933541 |
| Mailing Fax Number | 3344933789 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | MRS. JANA WYATT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3344939111 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities | ||
| N | 273R00000X | Psychiatric Unit | AL | Hospital Units | |
| N | 275N00000X | Medicare Defined Swing Bed Unit | AL | Hospital Units | |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
11789 | AL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 010095 | 01 |
| AL | HOS0007H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548809403 | Mizell Memorial Hospital, Inc. | Specialist | 103 E Memorial Ave Ste A, Opp, AL 36467-1746 | 2019-12-24 |
| 1477032795 | Mizell Memorial Hospital, Inc. | Hospitalist | 702 N Main St, Opp, AL 36467-1626 | 2018-08-08 |
| 1760728455 | Mizell Memorial Hospital, Inc. | Family Medicine | 802 N Main St, Opp, AL 36467-1614 | 2012-12-27 |
| Street Address |
702 N MAIN ST |
| City | OPP |
| State | AL |
| Zip Code | 36467-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402955 | Mind Over Matter LLC | Clinic/Center | 702 N Main St, Opp, AL 36467-1626 | 2020-06-23 |
| 1275158578 | David Russell Adams | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2020-06-11 |
| 1962056143 | Mizell Memorial Hospital | Medicare Defined Swing Bed Unit | 702 N Main St, Opp, AL 36467-1626 | 2019-07-26 |
| 1477032795 | Mizell Memorial Hospital, Inc. | Hospitalist | 702 N Main St, Opp, AL 36467-1626 | 2018-08-08 |
| 1689165771 | Ciara O'megan Burrows | Social Worker | 702 N Main St, Opp, AL 36467-1626 | 2018-05-23 |
| 1982117412 | Nicholas Bass | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2017-11-07 |
| 1174042501 | Samantha Jean Mccollough | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2017-09-18 |
| 1679009286 | Southland Hospitalist At Opp, Pllc | Hospitalist | 702 N Main St, Opp, AL 36467-1626 | 2017-05-03 |
| 1659702546 | Southland Medical Solutions of Opp Pllc | Emergency Medicine | 702 N Main St, Opp, AL 36467-1626 | 2013-12-03 |
| 1831397017 | Vincent E. Martin, M.d., P.C. | Radiology | 702 N Main St, Opp, AL 36467-1626 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146548 | Still Waters Msssage | Massage Therapist | 1800 W Cummings Ave, Opp, AL 36467 | 2015-10-16 |
| 1609245034 | Kellie Victoria King | Massage Therapist | 1800 West Cummings Avenue, Opp, AL 36467 | 2015-09-16 |
| 1912327099 | George Lawrence Arnett | Hearing Instrument Specialist | 2123 Highway 84 West, Opp, AL 36467 | 2014-04-16 |
| 1811313042 | Quality Hearing Center LLC | Hearing Instrument Specialist | 2123 Hwy 84 W., Opp, AL 36467 | 2014-03-12 |
| 1346372505 | Jeffrey Harold Worley | Dentist | 403 N Brantley St, Opp, AL 36467 | 2007-03-12 |
| 1649210600 | Opp Health and Rehabilitation, LLC | Skilled Nursing Facility | 115 Paulk Ave, Opp, AL 36467 | 2006-06-07 |
| 1770616989 | Joshua Driver PC | Optometrist | 604 N Main St Ste A, Opp, AL 36467-1600 | 2007-03-14 |
| 1932653722 | Andrew Scott Carter | Optometrist | 604 N Main St, Opp, AL 36467-1600 | 2016-08-09 |
| 1972679033 | Joshua Jonathan Driver | Optometrist | 604 N Main St, Suite A, Opp, AL 36467-1600 | 2006-11-28 |
| 1649355280 | Charles M Burgess Jr. | Dentist | 104 E Gunter Ave, Opp, AL 36467-1604 | 2006-10-25 |
| Find all providers in zip 36467 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992812382 | Professional Resources Management, Inc. | General Acute Care Hospital | 102 Conecuh Ave W, Union Springs, AL 36089-1303 | 2006-08-23 |
| 1588779920 | Greene County Hospital & Nursing Home | General Acute Care Hospital | 509 Wilson Ave, Eutaw, AL 35462 | 2006-08-19 |
| 1598770943 | Gilliard Health Services | General Acute Care Hospital | 220 Hospital Dr, Jackson, AL 36545-2459 | 2006-07-31 |
| 1255376828 | The Bibb County Healthcare Authority | General Acute Care Hospital | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-06-18 |
| 1417306663 | Cullman Regional Medical Center | General Acute Care Hospital | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2016-06-08 |
| 1033579024 | St. Vincent's East Family Practice | General Acute Care Hospital | 2152 Old Springville Rd, Center Point, AL 35215-4005 | 2016-03-03 |
| 1255776639 | D. W. Mcmillan Memorial Hospital | General Acute Care Hospital | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2013-04-30 |
| 1922442755 | Mohamad Moustapha El Khatib | General Acute Care Hospital | 101 Fitness Way, Suite 2100, Athens, AL 35611-2480 | 2013-04-23 |
| 1770814626 | Troy Hospital Health Care Authority | General Acute Care Hospital | 1330 Highway 231 S, Troy, AL 36081-3058 | 2010-01-15 |
| 1841453644 | Citizens Baptist Medical Center | General Acute Care Hospital | 604 Stone Ave, Talladega, AL 35160-2217 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MIZELL MEMORIAL HOSPITAL, INC..
| 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.