NPIMap

Organization Active NPI

Marshall Medical Center North Jones Pediatric Practice

  • Primary Care Clinic/Center
  • Guntersville, AL
National Provider Identifier
1003008376
Registry record updated Apr 20, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
26482 Issued in AL
Legal business name
MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE
Practice address
45 Medical Park Dr
B
Guntersville, AL 35976-5766
Phone
(256) 571-8969
Fax
(256) 571-8980
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicky R Hicks
Title
Director - PM
Phone
(256) 891-3144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 26482 AL Primary

Addresses

Primary practice location

45 Medical Park Dr
B
Guntersville, AL 35976-5766

Mailing address

227 Brittany Rd
Guntersville, AL 35976-5766
Phone (256) 891-3144

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003008376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BRITTANY RD",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359765766",
            "telephone_number": "256-891-3144",
            "fax_number": "256-878-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEDICAL PARK DR",
            "address_2": "B",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359765766",
            "telephone_number": "256-571-8969",
            "fax_number": "256-571-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR - PM",
        "authorized_official_telephone_number": "256-891-3144"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "26482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.