| Mizell Memorial Hospital, Inc. | |
|
918 Drayton Ave Elba AL 36323-1448 | |
| (334) 493-5713 | |
| Not Available |
| Full Name | Mizell Memorial Hospital, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 918 Drayton Ave, Elba, Alabama |
| Authorized Official Name and Position | Jana Wyatt (CFO) |
| Authorized Official Contact | 3344935790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mizell Memorial Hospital, Inc. Po Box 1010 Opp AL 36467-1010 Ph: (334) 493-5713 | Mizell Memorial Hospital, Inc. 918 Drayton Ave Elba AL 36323-1448 Ph: (334) 493-5713 |
| NPI Number | 1033863170 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 6507820990 |
|---|---|
| Medicare Enrollment ID | O20220517000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033863170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Elba Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 987 Drayton Ave, Elba, AL 36323 Phone: 334-897-2257 | |
First Med Of Elba Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 Larkin Rd, Elba, AL 36323 Phone: 334-897-2207 Fax: 334-853-0128 | |
Jason D. Tucker, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Drayton Ave, Elba, AL 36323 Phone: 334-897-3800 Fax: 334-897-3804 | |
Joyce P. Goetsch, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Drayton Ave, Elba, AL 36323 Phone: 334-897-3800 Fax: 334-897-3804 | |
Dr. Glenn Roberts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 978 Drayton Ave, Elba, AL 36323 Phone: 334-897-2597 Fax: 334-897-6662 | |
Lance K. Dyess, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-897-2207 Fax: 334-897-3476 |