Provider Demographics
NPI:1700419868
Name:THE RUSSELL HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:THE RUSSELL HOSPITAL CORPORATION
Other - Org Name:HEALTH PARTNERS OF NEWSITE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
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:256-329-7100
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:256-329-7100
Mailing Address - Fax:
Practice Address - Street 1:12761 HIGHWAY 22 EAST
Practice Address - Street 2:
Practice Address - City:NEW SITE
Practice Address - State:AL
Practice Address - Zip Code:36256
Practice Address - Country:US
Practice Address - Phone:256-329-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty