Organization
NORTHPORT - CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G WILSON (DIRECTOR BUSINESS SERVICES)
(205) 343-8500
Entity
Organization
Contact information
Practice address
2700 HOSPITAL DR, NORTHPORT, AL 35476-3360
(205) 333-4500
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124766
—
AL
01
—
DR7373
RR MCR
AL
Enumeration date
11/23/2010
Last updated
08/08/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us