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
—
—
261QP2300X
Primary Care Clinic/Center
9381
AL
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
02/06/2017
Last updated
01/23/2026
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