Active NPI
Northport Hospital DCH
Doing business as North Harbor
- Psychiatry Physician
- Northport, AL
National Provider Identifier
1497999700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NORTHPORT HOSPITAL DCH
- Doing business as
- North Harbor
- Practice address
- 2702 Hospital Dr
Suite 201
Northport, AL 35476-3397 - Phone
- (205) 333-4522
- NPI assigned
- Apr 30, 2009
- Last updated
- Jan 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keri Hindman
- Title
- Patient Accounts Director
- Phone
- (205) 759-7378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
2702 Hospital Dr
Suite 201
Northport, AL 35476-3397
Mailing address
1820 Rice Mine Rd N
Suite 200
Tuscaloosa, AL 35406-3281
Phone (205) 333-4655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110667 | Medicaid | AL | |
| CA6681 | Other | AL | MEDICARE RAILROAD |
Other names 1
- North Harbor
National Provider Directory
National Provider DirectoryLocations
2702 Hospital Dr
Ste 201
Northport, AL 35476
Phone (205) 333-4467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611273600000",
"number": "1497999700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 RICE MINE RD N",
"address_2": "SUITE 200",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354063281",
"telephone_number": "205-333-4655",
"fax_number": "205-333-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 HOSPITAL DR",
"address_2": "SUITE 201",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763397",
"telephone_number": "205-333-4522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPORT HOSPITAL DCH",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-30",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A",
"authorized_official_last_name": "HINDMAN",
"authorized_official_first_name": "KERI",
"authorized_official_title_or_position": "PATIENT ACCOUNTS DIRECTOR",
"authorized_official_telephone_number": "205-759-7378"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110667",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CA6681",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Harbor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Harbor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northport, AL
- Seth Peyton Nicholas
- Alicia O Nichols, CRNP
- Julie Beth Nicholson, LPTA
- Tameka Chardell Noland, FNP-C
- Northport - Crna
- Northport Hospital DCH (Northport Medical Center)
- Northport Internal Medicine PC
- Northport Medical Center (Northport Medical Center - Psych)
- Northport Medical Center
- Northport Medical Center (Northport Medical Center - Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.