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Organization
MEDCENTER PRIMARY CARE, LLC
Active
Organization
MEDCENTER PRIMARY CARE, LLC
Active
Other names
MedCenter NorthRiver
Organization subpart
No
Provider details
NPI number
Authorized official
BETH KOHN (CREDENTIALING SPECIALIST)
(912) 756-2273
Entity
Organization
Contact information
Practice address
4960 RICE MINE ROAD NE, STE 10, NORTHPORT, AL 35476-2838
(205) 333-9467
(205) 758-1656
Mailing address
4960 RICE MINE RD NE STE 10, TUSCALOOSA, AL 35406-3136
(205) 333-9467
(205) 333-0782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
9381
AL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
02/06/2017
Last updated
01/23/2026
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