HOUSTON COUNTY HEALTHCARE AUTHORITY (NPI# 1164403861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164403861 |
| Entity Type | Organization |
| Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | SOUTHEAST HEALTH MEDICAL CENTER |
| Practice Address |
1108 Ross Clark Circle Dothan AL 36301-3022 |
| Mailing Address |
Po Box 6987 Dothan AL 36302-6987 |
| Practice Telephone | 3347938111 |
| Practice Fax Number | 3347938779 |
| Mailing Telephone | 3347938111 |
| Mailing Fax Number | 3347938779 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | ROBERT DEREK MILLER (CFO) |
| Authorized Official Telephone | 3347938701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 10358 | AL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010206700 | 05 | |
| AL | HOS0001H | 05 | |
| GA | 000001735A | 05 | |
| AL | BLUE CROSS | 010057 | 01 |
| Other Name | Type Code |
|---|---|
| Southeast Alabama Medical Center | Doing Business As Name - Organization |
| Southeast Health Medical Center | 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 |
| 1144469438 | Houston County Healthcare Authority | Nurse Practitioner | 1806 Fairview Ave Ste A, Dothan, AL 36301-3026 | 2009-02-11 |
| 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 |
| 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 |
1108 ROSS CLARK CIRCLE |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134598881 | Amanda Nicole Hall | Nurse Anesthetist, Certified Registered | 1108 Ross Clark Circle, Dothan, AL 36301-2911 | 2015-09-23 |
| 1689093692 | Arash Velayati | Internal Medicine | 1108 Ross Clark Circle, Dothan, AL 36301-3088 | 2014-04-08 |
| 1295990810 | Deborah Anne Barron | Social Worker | 1108 Ross Clark Circle, Southeast Alabama Medical Center, Dothan, AL 36301 | 2008-07-23 |
| 1790719318 | Jarrod B. Adkison | Specialist | 1108 Ross Clark Circle, Southeast Alabama Medical Center, Radiation Oncology, Dothan, AL 36301-3022 | 2006-07-10 |
| 1992784714 | Puli Gopal Reddy | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-11 |
| 1164401980 | Paul W Johnson | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-11 |
| 1912986886 | Vernon L Pruitt | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| 1548249410 | Jeffrey Scott Plagenhoef | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| 1487633368 | Ralph B Fillmore | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| 1326027202 | David E Perkins | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295161396 | Managed Health Care Administration, Inc | General Acute Care Hospital | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-09-20 |
| 1366626285 | Southeast Alabama Medical Center | General Acute Care Hospital | 1108 Ross Clark Cir, Attn: Physical Therapy Dept, Dothan, AL 36301-3022 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609311000 | Mobile Infirmary Association | General Acute Care Hospital | 1721 Spring Hill Ave, Mobile, AL 36604-1402 | 2016-12-21 |
| 1518349448 | Baptist Health | General Acute Care Hospital | 109 Bowen Bnd, Wetumpka, AL 36093-2592 | 2015-06-27 |
| 1497162085 | Belinda Beaver | General Acute Care Hospital | 25627 Lakeland Dr, Loxley, AL 36551-7453 | 2014-07-16 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1346684008 | University of Alabama At Birmingham Hospital | General Acute Care Hospital | Fot 1034 1530 3rd Ave S, Birmingham, AL 35294-3410 | 2013-04-24 |
| 1528311271 | Univ. of Alabama Birmingham Hospital | General Acute Care Hospital | 510 20th St. So (fot-1164), Uab, Plastic Surgery, Birmingham, AL 35294-3411 | 2012-10-18 |
| 1588928618 | Princeton Baptist Medical Center | General Acute Care Hospital | 187 Lorrin Ln, Sterrett, AL 35147-9528 | 2012-07-04 |
| 1043585680 | Uahsf | General Acute Care Hospital | 914 Medical Education Building 1813 6th Ave S, Birmingham, AL 35294-0001 | 2012-03-15 |
| 1598052219 | University of Alabama At Birmingham Hospital | General Acute Care Hospital | 510 20th St S # Fot1020, Birmingham, AL 35233-2028 | 2011-07-01 |
| 1023311644 | University of Alabama At Birmingham | General Acute Care Hospital | Fot 930, 1530 3rd Ave S, Birmingham, AL 35294-0019 | 2010-12-21 |
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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.