Healthcare Provider Details

I. General information

NPI: 1972518777
Provider Name (Legal Business Name): TUSCALOOSA MEDCENTER NORTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 MCFARLAND BLVD
NORTHPORT AL
35476-2838
US

IV. Provider business mailing address

3909 MCFARLAND BLVD
NORTHPORT AL
35476-2838
US

V. Phone/Fax

Practice location:
  • Phone: 205-333-1993
  • Fax: 205-333-0782
Mailing address:
  • Phone: 205-333-1993
  • Fax: 205-333-0782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT POSEY
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 205-333-1993