# MEDCENTER PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedCenter NorthRiver
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922546357
- **Authorized official:** BETH KOHN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (912) 756-2273

## Contact information

- **Practice address:** 4960 RICE MINE ROAD NE, STE 10, NORTHPORT, AL 35476-2838
- **Practice address phone:** (205) 333-9467
- **Practice address fax:** (205) 758-1656
- **Mailing address:** 4960 RICE MINE RD NE STE 10, TUSCALOOSA, AL 35406-3136
- **Mailing address phone:** (205) 333-9467
- **Mailing address fax:** (205) 333-0782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | 9381 | AL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2017
- **Last updated:** 01/23/2026