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NORTH RIVER SURGICAL CENTER LLC NPI 1215926993


NPI Information

NPI: 1215926993
Provider Name: NORTH RIVER SURGICAL CENTER, LLC

Former Legal Business Name: NORTH RIVER SURGICAL CENTER, INC.

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
301 RICE MINE RD NE
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 750-0022
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NORTH RIVER SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Tuscaloosa, AL. NORTH RIVER SURGICAL CENTER, LLC NPI is 1215926993. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is North River Surgical Center, Inc..

The provider's business location address is:

301 RICE MINE RD NE
TUSCALOOSA, AL
ZIP 35406-403
Phone: (205) 750-0022
Fax: (205) 750-2373

The provider's authorized official is Clarence D Howe .
The authorized official title is Medical Director and has the following contact phone number (205) 750-0022.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 4/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical10452ALABAMANo
2261QA1903XClinic/CenterAmbulatory SurgicalU6303ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101C0001029MEDICARE OSCAR/CERTIFICATIONALABAMA
2ASC0052CMEDICAIDALABAMA
3051555332MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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