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MEDCENTER PRIMARY CARE NPI 1922546357


NPI Information

NPI: 1922546357
Provider Name: MEDCENTER PRIMARY CARE

Doing Business As: MEDCENTER NORTHRIVER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2126498

Address:
4960 RICE MINE ROAD NE
STE 10
NORTHPORT, AL
ZIP 35476
Phone: (205) 333-9467
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MEDCENTER PRIMARY CARE is a primary care clinic center in Northport, AL. MEDCENTER PRIMARY CARE NPI is 1922546357. The provider is registered as an organization entity type.
The provider Is Doing Business As Medcenter Northriver.

The provider's business location address is:

4960 RICE MINE ROAD NE
STE 10
NORTHPORT, AL
ZIP 35476-838
Phone: (205) 333-9467
Fax: (205) 758-1656

The provider's authorized official is Holly Posey James .
The authorized official title is Executive Director and has the following contact phone number (205) 330-1707.

The CLIA number assigned to this NPI record is 01D2126498 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 8/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care9381ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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