| The Russell Hospital Corporation | |
|
21342 Al Highway 9 Goodwater AL 35072 | |
| (256) 743-1300 | |
| (256) 743-1301 |
| Full Name | The Russell Hospital Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 21342 Al Highway 9, Goodwater, Alabama |
| Authorized Official Name and Position | Lother E Peace (PRESIDENT/CEO) |
| Authorized Official Contact | 2563297188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Russell Hospital Corporation Po Box 939 Alexander City AL 35011-0939 Ph: (256) 329-1709 | The Russell Hospital Corporation 21342 Al Highway 9 Goodwater AL 35072 Ph: (256) 743-1300 |
| NPI Number | 1174990626 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 08/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174990626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 South Main Street, Goodwater, AL 35072 Phone: 256-839-1758 Fax: 256-839-6140 |