Contract Details
DCH Health System
Facility name
Northport Medical Center
Provider ID
P000002554
NPI
1760586325
Tax ID
631073301
Effective Date
11/5/1996
Last Updated
10/2/2014
Direct Contract
Yes
Term Date
11/7/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2700 Hospital Drive
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2053334500 (Phone)
Billing Details
Address
809 University Boulevard East
Tuscaloosa, AL 35401
Billing Phone
2053438500
Specialty Type
Physical Therapy Facility
Map
Address