Provider Demographics
NPI:1417252537
Name:RUSSELL HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:RUSSELL HOSPITAL CORPORATION
Other - Org Name:RUSSELL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOTHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:PEACE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:256-329-7188
Mailing Address - Street 1:PO BOX 939
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35011-0939
Mailing Address - Country:US
Mailing Address - Phone:256-329-7109
Mailing Address - Fax:256-329-7617
Practice Address - Street 1:3316 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3369
Practice Address - Country:US
Practice Address - Phone:256-329-7109
Practice Address - Fax:256-329-7617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty