Provider Demographics
NPI:1760513220
Name:THUSS MEDICAL CENTER NORTH
Entity Type:Organization
Organization Name:THUSS MEDICAL CENTER NORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAUNCEY
Authorized Official - Middle Name:BENEDICT
Authorized Official - Last Name:THUSS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:205-945-8185
Mailing Address - Street 1:3001 27TH ST N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35207-4549
Mailing Address - Country:US
Mailing Address - Phone:205-502-5808
Mailing Address - Fax:205-502-5820
Practice Address - Street 1:3001 27TH ST N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35207-4549
Practice Address - Country:US
Practice Address - Phone:205-502-5808
Practice Address - Fax:205-502-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD 13668A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE28437Medicare UPIN