NPIMap

Organization Active NPI

Marion Regional Medical Center, Inc.

Doing business as MRMC ER Physicians

  • Emergency Care Clinic/Center
  • Hamilton, AL
National Provider Identifier
1578734976
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
H4703 Issued in AL
Legal business name
MARION REGIONAL MEDICAL CENTER, INC.
Doing business as
MRMC ER Physicians
Practice address
1256 Military St S
Hamilton, AL 35570-5003
Phone
(205) 921-6200
Fax
(205) 921-6260
NPI assigned
Mar 13, 2008
Last updated
Nov 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MARION REGIONAL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Mr. Joseph A Reppert
Title
Cfo
Phone
(662) 377-3978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X H4703 AL Primary

Addresses

Primary practice location

1256 Military St S
Hamilton, AL 35570-5003

Mailing address

1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200

Other identifiers 3

IdentifierTypeStateIssuer
051501210MedicaidAL
558800120MedicaidAL
051501204MedicaidAL

Other names 1

  • MRMC ER Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marion Regional Medical11 organizations share this tax ID, including this one
Part of
Marion Regional Medical

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1578734976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705003",
            "telephone_number": "205-921-6200",
            "fax_number": "205-921-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705003",
            "telephone_number": "205-921-6200",
            "fax_number": "205-921-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION REGIONAL MEDICAL CENTER, INC.",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "662-377-3978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "AL",
            "license": "H4703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051501210",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558800120",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051501204",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRMC ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.