| |
2700 Hospital Dr Northport AL 35476-3360 | |
(205) 330-3227 | |
(205) 759-6397 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 2700 Hospital Dr, Northport, Alabama |
Authorized Official Name and Position | Keri H Hindman (PATIENT ACCOUNTS DIRECTOR) |
Authorized Official Contact | 2057597378 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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809 University Blvd E Tuscaloosa AL 35401-2029 Ph: (205) 343-8500 | 2700 Hospital Dr Northport AL 35476-3360 Ph: (205) 330-3227 |
NPI Number | 1720370679 |
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Provider Enumeration Date | 05/11/2011 |
Last Update Date | 01/22/2021 |
Certification Date | 01/22/2021 |
Medicare PECOS PAC ID | 8123924248 |
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Medicare Enrollment ID | O20110511000867 |
Identifier | Type | State | Issuer |
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1720370679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 11874 (Alabama) | Primary |
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