MIZELL MEMORIAL HOSPITAL, INC. – Rural Acute Care Hospital, NPI 1013937705

MIZELL MEMORIAL HOSPITAL, INC. is a healthcare provider. based in Opp, Alabama. specializing in Rural Acute Care Hospital. The organization holds a License No. 11789 (AL). The NPI Number for MIZELL MEMORIAL HOSPITAL, INC. is 1013937705

Main info

Organization
Name
MIZELL MEMORIAL HOSPITAL, INC.
NPI
1013937705
Phone
(334) 493-3541
Address
PO BOX 1010
Authorized Official
MRS. JANA WYATT CHIEF EXECUTIVE OFFICER CPA
Enumeration Date
19 July 2006
Last Update Date
24 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MIZELL MEMORIAL HOSPITAL, INC.

  • Opp Post Office, A390, Albaston, Calstock, Drakewalls, Cornwall, England, PL18 9HT, United Kingdom

    OPP, AL 364671010

    Phone: (334) 493-3541

    Fax: (334) 493-3789

    Type: Mailing

  • Mizell Memorial Hospital, 702, North Main Street, Opp, Covington County, Alabama, 36467, United States

    OPP, AL 364671626

    Phone: (334) 493-3541

    Fax: (334) 493-9433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080521000144OHospitalALTBD
O20080922000250OHospitalALTBD
O20080923000617OHospitalALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36467)

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Reviews

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Frequently asked questions

What is MIZELL MEMORIAL HOSPITAL, INC.'s NPI number?
MIZELL MEMORIAL HOSPITAL, INC.'s NPI is 1013937705 — the number used across U.S. healthcare to identify this provider.
Is MIZELL MEMORIAL HOSPITAL, INC. still an active registrant?
MIZELL MEMORIAL HOSPITAL, INC. carries an active NPI according to the public dataset.
What area of care is associated with MIZELL MEMORIAL HOSPITAL, INC.?
MIZELL MEMORIAL HOSPITAL, INC.'s record emphasizes Rural Acute Care Hospital. Clinical services aligned with this taxonomy classification.
Is MIZELL MEMORIAL HOSPITAL, INC. located near Opp?
MIZELL MEMORIAL HOSPITAL, INC. currently maps to Opp, Alabama in this extract.
Can I trust this NPI listing for MIZELL MEMORIAL HOSPITAL, INC.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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