Provider Demographics
NPI:1841394418
Name:THE DCH HEALTHCARE AUTHORITY
Entity Type:Organization
Organization Name:THE DCH HEALTHCARE AUTHORITY
Other - Org Name:NORTHPORT MEDICAL CENTER
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:H
Authorized Official - Last Name:HINDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-759-7378
Mailing Address - Street 1:809 UNIVERSITY BLVD E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2029
Mailing Address - Country:US
Mailing Address - Phone:205-759-7378
Mailing Address - Fax:205-759-6397
Practice Address - Street 1:809 UNIVERSITY BLVD E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2029
Practice Address - Country:US
Practice Address - Phone:205-759-7378
Practice Address - Fax:205-759-6397
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE DCH HEALTHCARE AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-12
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510C863OtherBLUE SHIELD
ALCK0633OtherRAILROAD MEDICARE 3
GA000108292AMedicaid
MS00220565OtherMEDICAID
AL010041OtherBCBS
FL109199400Medicaid
AL000810965Medicaid
GA000497241XMedicaid
037072900OtherBLACK LUNG PROV NUMBER
TX169699901Medicaid
LA1749486Medicaid
MS00020414Medicaid
ALCA5351OtherRAILROAD MEDICARE 2
ALCA5249OtherRAILROAD MEDICARE
ALHOS0092HMedicaid
TN0010092Medicaid
ALI169OtherMCR B GROUP NUMBER
AL9276OtherHEALTHSPRINGS OF ALABAMA
ALPEC0092HMedicaid
037072900OtherBLACK LUNG PROV NUMBER