HOUSTON COUNTY HEALTHCARE AUTHORITY (NPI# 1144469438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144469438 |
| Entity Type | Organization |
| Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | CLINICARE |
| Practice Address |
1806 Fairview Ave Ste A Dothan AL 36301-3026 |
| Mailing Address |
Po Box 578 Dothan AL 36302-0578 |
| Practice Telephone | 3347938087 |
| Practice Fax Number | 3347938191 |
| Mailing Telephone | 3347938087 |
| Mailing Fax Number | 3347938191 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Authorized Official Name | MR. DEREK MILLER (CFO) |
| Authorized Official Telephone | 3347938087 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-022372 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CliniCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255876181 | Houston County Healthcare Authority | Family Medicine | 4550 W Main St, Suite 1, Dothan, AL 36305-1130 | 2017-01-02 |
| 1033399910 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 231 E Barbour St, Eufaula, AL 36027-1601 | 2007-11-08 |
| 1063567329 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 1109 Boll Weevill Circle, Suite 3, Enterprise, AL 36330-2063 | 2007-01-24 |
| 1457302218 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 2253 Third Ave, Suite 1, Dothan, AL 36301-5303 | 2006-05-15 |
| 1164403861 | Houston County Healthcare Authority | General Acute Care Hospital | 1108 Ross Clark Circle, Dothan, AL 36301-3022 | 2005-11-09 |
| 1275047094 | Houston County Healthcare Authority | Internal Medicine | 1118 Ross Clark Cir Ste 200, Dothan, AL 36301-3029 | 2017-12-01 |
| 1881057974 | Houston County Healthcare Authority | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-05 |
| 1285097477 | Houston County Healthcare Authority | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-04 |
| 1306205497 | Houston County Healthcare Authority | Social Worker | 1450 Ross Clark Cir, Suite 400a, Dothan, AL 36301-4765 | 2016-02-17 |
| 1649637273 | Houston County Healthcare Authority | Counselor | 1450 Ross Clark Cir, Suite 400b, Dothan, AL 36301-4765 | 2016-01-27 |
| Street Address |
1806 FAIRVIEW AVE STE A |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095446 | Marathon Health LLC | Nurse Practitioner | 131 Cliff Rd, Dothan, AL 36303-5415 | 2020-02-19 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1902396286 | Genevieve Patricia Lewellyn | Nurse Practitioner | 1184 Upton Rd, Dothan, AL 36305-5134 | 2018-05-13 |
| 1073979886 | Sydney Stevens Weber | Nurse Practitioner | 1052 Ross Clark Cir, Dothan, AL 36303-5425 | 2016-01-08 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1013310143 | Samantha Poole Carter | Nurse Practitioner | 4300 W Main St Ste 15, Dothan, AL 36305-1058 | 2014-10-03 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1851430383 | Robert Michael Ortiz | Nurse Practitioner | 1118 Ross Clark Cir Ste 303, Dothan, AL 36301-3002 | 2007-02-05 |
| 1841309648 | Malissa Harkleroad Williams | Nurse Practitioner | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2006-08-29 |
| 1013986215 | Amanda B Imming | Nurse Practitioner | 1901 Melba Drive, Dothan, AL 36301 | 2006-03-17 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.