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Contract Details
Facility name
MedCenter North
Provider ID
P000002479
NPI
1972518777
Tax ID
203844912
Effective Date
12/1/2006
Last Updated
11/16/2017
Direct Contract
Yes
Term Date
11/13/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3909 McFarland Boulevard
Northport, AL 35476
United States
County
Tuscaloosa
Phone
2053331993
(
Phone
)
Billing Details
Address
3909 McFarland Boulevard
Northport, AL 35476
Billing Phone
2053331993
Specialty Type
Urgent Care Facility
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Address