Organization Active NPI

Marshall Medical Center South Dba MMC Radiologist

  • General Acute Care Hospital
  • Albertville, AL
National Provider Identifier
1770872145
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
5834 Issued in AL
Legal business name
MARSHALL MEDICAL CENTER SOUTH DBA MMC RADIOLOGIST
Practice address
4198 US Highway 431
Suite B
Albertville, AL 35950-0238
Phone
(256) 891-1226
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Angela Patterson
Title
VP
Phone
(423) 903-6796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 5834 AL Primary

Addresses

Primary practice location

4198 US Highway 431
Suite B
Albertville, AL 35950-0238

Mailing address

Dept 0406
PO Box 11407
Birmingham, AL 35246-0406
Phone (423) 903-6796

National Provider Directory

National Provider Directory

Locations

4198 US Highway 431
Ste B
Albertville, AL 35950
Phone (256) 486-2300

11407 Dept 0406 Box
Birmingham, AL 35246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1770872145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 0406",
            "address_2": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460406",
            "telephone_number": "423-903-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 US HIGHWAY 431",
            "address_2": "SUITE B",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500238",
            "telephone_number": "256-891-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH DBA MMC RADIOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "423-903-6796"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.