Organization Active NPI

Northport Hospital DCH

Doing business as North Harbor

  • Psychiatry Physician
  • Northport, AL
National Provider Identifier
1497999700
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110667MedicaidAL
CA6681OtherALMEDICARE RAILROAD

Other names 1

  • North Harbor Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.