Online Bill Payment for Northern Hospital

Thank you for using our online bill payment system, an easy and secure way to pay your medical bills.
Please complete the required information (denoted by an *) below and click “SUBMIT” at the bottom of this page. A Patient Financial Services representative will process your payment and you will receive notification that your payment has been completed via e-mail if you provide your e-mail address.
If you need to make a Northern Hospital payment to your ClearBalance® account, click here.
Amount   *  
Credit Card Number   *
Expiration Date   
Card Security Code(CSC)   *  
FirstName on Credit Card    *
LastName on Credit Card   *
First Name   *
Last Name   *
Address   *
Address Continued 
City   *
State   *
Zip   *  
Country   *
Select Location   *
Email   *
Phone Number 
Account Number   *
Patient Name on Account   *

Please note this Online Bill Pay is to enter payments only. All payments are final. Please contact a Customer Service Representative if you have any questions. They can be reached at 336-719-7458 or 336-719-7459.

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