SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES


Address: 4300 W Main St Ste 300, Dothan, AL 36305-1313
Phone: 3344460076

SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (NPI# 1194087593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194087593
Entity Type Organization
Organization Name SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Other Organization Name DOTHAN FAMILY HEALTH CENTER
Practice Address 4300 W Main St Ste 300
Dothan
AL 36305-1313
Mailing Address 1414 Elba Hwy
Troy
AL 36079-6020
Practice Telephone 3344460076
Practice Fax Number 3344060203
Mailing Telephone 3346706726
Mailing Fax Number 3346706731
Enumeration Date 2012-06-12
Last Update Date 2019-02-20
Authorized Official Name MR. JOHN A LITTLE (CEO)
Authorized Official Telephone 3346706726
Authorized Official Credential MPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Dothan Family Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659658391 Southeast Alabama Rural Health Associates Clinic/Center 100 W. Lake Professional Park, Suite 1, Geneva, AL 36340-1200 2011-11-09
1023290608 Southeast Alabama Rural Health Associates Clinic/Center 162 S Dalton St, Slocomb, AL 36375-5669 2007-12-05
1063573301 Southeast Alabama Rural Health Associates Clinic/Center 18131 Dozier Hwy, Dozier, AL 36028-0100 2006-12-12
1043220585 Southeast Alabama Rural Health Associates Clinic/Center 1414 Elba Hwy, Troy, AL 36079-6020 2006-08-08
1740580422 Southeast Alabama Rural Health Associates Clinic/Center 615 Ozark Rd, Abbeville, AL 36310-2629 2010-10-27
1578625125 Southeast Alabama Rural Health Associates Clinic/Center 1412 Elba Hwy, Troy, AL 36079 2006-12-13
1710048053 Southeast Alabama Rural Health Associates Clinic/Center 7 Western Byp, Clayton, AL 36016-2013 2006-12-12
1891856134 Southeast Alabama Rural Health Associates Clinic/Center 105 E Watts St, Enterprise, AL 36330-2511 2006-12-12
1780745034 Southeast Alabama Rural Health Associates Clinic/Center 193 Oates Dr, Newton, AL 36352-4312 2006-12-12
1710933098 Southeast Alabama Rural Health Associates Internal Medicine 23 Veterans Blvd, Eufaula, AL 36027-4444 2006-05-26

Office Location

Street Address 4300 W MAIN ST STE 300
City DOTHAN
State AL
Zip Code 36305-1313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568430056 Joseph Harrison Sewell Family Medicine 4300 W Main St Ste 300, Dothan, AL 36305-1313 2006-03-09
1457806754 Gina Renia Moone Nurse Practitioner 4300 W Main St Ste 300, Dothan, AL 36305-1313 2016-08-17
1225346265 Janet Lynn Ellis Social Worker 4300 W Main St Ste 300, Dothan, AL 36305-1313 2010-09-23
1043251036 James R Staheli Family Medicine 4300 W Main St Ste 300, Dothan, AL 36305-1313 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962059998 Samantha Nicole Bolden Counselor 1001 John D. Odom Road, Dothan, AL 36305 2019-08-23
1578968780 Aba Therapy & Consulting Services Behavioral Analyst 3124 West Main Street, Suite 9, Dothan, AL 36305 2014-10-30
1306247796 Tracey Lynn Carter Registered Nurse 4300 W Main St Ste 102, Dothan, AL 36305 2014-09-04
1760829881 Michael Brent Nance Nurse Practitioner 4370 West Main Street, Dothan, AL 36305 2013-05-30
1033495221 Professional Resource Management of Wiregrass, LLC Psychiatry & Neurology 2812 Hartford Hwy Ste 1, Dothan, AL 36305 2011-11-01
1649555483 Ashley Dawn Morrow Pharmacist 2940 West Main Street, Dothan, AL 36305 2011-10-12
1740599273 Aline M Mays-easley Counselor 309 Ameris Ave, Dothan, AL 36305 2010-10-01
1356671408 Kimberly Jones Rogers Clinical Neuropsychologist 200 Grove Park Ln Ste 212, Dothan, AL 36305 2010-01-12
1639347818 Southeast Alabama Counseling & Behavioral Specialist Residential Treatment Facility, Emotionally Disturbed Children 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 2008-02-11
1770705667 Michala Long Pharmacist 3850 West Main St, Dothan, AL 36305 2007-05-02
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144837311 Altapointe Health Systems, Inc. Clinic/Center 2419 Gordon Smith Dr, Mobile, AL 36617-2318 2020-09-30
1528670452 The Capstone Rural Health Center Clinic/Center 1400 19th St W, Jasper, AL 35501-5171 2020-08-21
1205460268 The Capstone Rural Health Center Clinic/Center 714 12th St W, Jasper, AL 35501-4519 2020-02-28
1184284986 Health Services, Inc. Clinic/Center 1151 Air Base Blvd Ofc, Montgomery, AL 36108-3103 2019-06-14
1982172367 Health Services, Inc Clinic/Center 3350 S Court St, Montgomery, AL 36105-1606 2018-11-05
1932627858 Whatley Health Services, Inc. Clinic/Center 417 3rd St Se, Aliceville, AL 35442 2017-08-30
1780123372 Quality of Life Health Services, Inc Clinic/Center 404 9th Ave Sw, Lafayette, AL 36862-2806 2017-02-16
1487104691 Whatley Health Services Inc Clinic/Center 142 School Street, Oakman, AL 35579 2016-10-12
1831568237 Quality of Life Health Services, Inc Clinic/Center 1502 11th Ave, Phenix City, AL 36867-4905 2015-09-16
1477939031 Whatley Health Services, Inc. Clinic/Center 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 2015-08-06
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Competitor

Search similar providers

City DOTHAN
Zip Code 36305

Improve Information

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Dataset Information

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.

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