Provider Demographics
NPI:1194395467
Name:THE RUSSELL HOSPITAL CORPORATION, INC
Entity Type:Organization
Organization Name:THE RUSSELL HOSPITAL CORPORATION, INC
Other - Org Name:RUSSELL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT,PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOLONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-478-5136
Mailing Address - Street 1:3316 HIGHWAY 280
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-3369
Mailing Address - Country:US
Mailing Address - Phone:256-397-7726
Mailing Address - Fax:256-397-7728
Practice Address - Street 1:3316 HIGHWAY 280
Practice Address - Street 2:SUITE 102
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3369
Practice Address - Country:US
Practice Address - Phone:256-397-7726
Practice Address - Fax:256-397-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy