Marshall Medical Center South

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MARSHALL MEDICAL CENTER SOUTH

Practice address

2505 US Hwy 431 N
Boaz, AL 35957

Phone

(256) 593-8310

NPI assigned

Jul 2, 2008

Organization subpart

Yes

Parent organization

MARSHALL MEDICAL CENTER SOUTHAs reported in NPPES

Name

Ms. Kathy B Nelson, CPA

Title

Chief Financial Officer

Phone

(256) 894-6600

Tax ID family

James a Clement Jr MMC4 organizations share this tax ID, including this one

Part of

James a Clement Jr MMC

Other organizations with this tax ID 3

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

• Marshall Medical Center North

  • Ambulance
  • Guntersville, AL
  • NPI 1710140520
  NPD tax ID
• Marshall Medical Center South

  • Ambulance
  • Boaz, AL
  • NPI 1275795304
  NPD tax ID
• Marshall Medical Center South

  • Certified Registered Nurse Anesthetist
  • Boaz, AL
  • NPI 1861663874
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2008.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1992967772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 US HWY 431 N",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-593-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 US HWY 431 N",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-593-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER SOUTH",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "256-894-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558200290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall Medical Center South
• Marshall Medical Center South
• Marshall Medical Center South
• Marshall Medical Center South
• Marshall Medical Center South
• Marshall Medical Center South Burson Urology
• Marshall Medical Center South Diamond Hospital Services
• Marshall Medical Center South Medical Oncology Services
• Marshall Radiology PC
• Marshall Surgical Clinic, PC

• All providers in Boaz, AL
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.