Provider Demographics
NPI:1174990626
Name:THE RUSSELL HOSPITAL CORPORATION
Entity type:Organization
Organization Name:THE RUSSELL HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:256-329-7188
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:256-329-1709
Mailing Address - Fax:256-329-7213
Practice Address - Street 1:21342 AL HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:GOODWATER
Practice Address - State:AL
Practice Address - Zip Code:35072
Practice Address - Country:US
Practice Address - Phone:256-743-1300
Practice Address - Fax:256-743-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care