| Mizell Memorial Hospital, Inc. | |
|
103 E Memorial Ave Ste A Opp AL 36467-1746 | |
| (334) 493-5555 | |
| (334) 493-0517 |
| Full Name | Mizell Memorial Hospital, Inc. |
|---|---|
| Speciality | Specialist |
| Location | 103 E Memorial Ave Ste A, Opp, Alabama |
| Authorized Official Name and Position | Jana Wyatt (CEO / CFO) |
| Authorized Official Contact | 3344939111 |
| 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) 493-3541 | Mizell Memorial Hospital, Inc. 103 E Memorial Ave Ste A Opp AL 36467-1746 Ph: (334) 493-5555 |
| NPI Number | 1548809403 |
|---|---|
| Provider Enumeration Date | 12/24/2019 |
| Last Update Date | 01/14/2021 |
| Medicare PECOS PAC ID | 6507820990 |
|---|---|
| Medicare Enrollment ID | O20200305001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548809403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
Kenneth J Crowe Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N Main St, Suite A, Opp, AL 36467 Phone: 334-493-2530 Fax: 334-493-3973 | |
Blissful Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Paulk Ave Ste A, Opp, AL 36467 Phone: 334-493-0311 Fax: 334-493-0355 | |
Mizell Memorial Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Main St Ste 2, Opp, AL 36467 Phone: 334-493-5704 Fax: 334-493-9664 | |
Mizell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535 | |
Goode Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Paulk Ave, Suite B, Opp, AL 36467 Phone: 334-493-0233 Fax: 334-493-0274 | |
Andalusia Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Us Hwy 84 West, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-222-3825 |