Provider Demographics
NPI:1497999700
Name:NORTHPORT HOSPITAL DCH
Entity Type:Organization
Organization Name:NORTHPORT HOSPITAL DCH
Other - Org Name:NORTH HARBOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT ACCOUNTS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-759-7378
Mailing Address - Street 1:1820 RICE MINE RD N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-3281
Mailing Address - Country:US
Mailing Address - Phone:205-333-4655
Mailing Address - Fax:205-333-4660
Practice Address - Street 1:2702 HOSPITAL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3397
Practice Address - Country:US
Practice Address - Phone:205-333-4522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCA6681OtherMEDICARE RAILROAD
AL110667Medicaid
AL110667Medicaid