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Contract Details
DCH Health System
Facility name
Northport Medical Center
Provider ID
P000002554
NPI
1760586325
Tax ID
636000271
Effective Date
12/6/1999
Last Updated
10/2/2014
Direct Contract
Yes
Term Date
7/16/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_009
AM_009
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
Ambulatory Surgical Facility
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