HOUSTON COUNTY HEALTHCARE AUTHORITY (NPI# 1255876181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255876181 |
| Entity Type | Organization |
| Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | WESTWAY MEDICAL CLINIC |
| Practice Address |
4550 W Main St Suite 1 Dothan AL 36305-1130 |
| Mailing Address |
Po Box 1928 Dothan AL 36302-1928 |
| Practice Telephone | 3344464700 |
| Practice Fax Number | 3344464720 |
| Mailing Telephone | 3347938087 |
| Mailing Fax Number | 3346782895 |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MR. ROBERT DEREK MILLER (CFO) |
| Authorized Official Telephone | 3347938111 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 153687 | 05 |
| Other Name | Type Code |
|---|---|
| Westway Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
4550 W MAIN ST SUITE 1 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1130 |
| 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 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1124271580 | Right Choice Family Practice | Family Medicine | 290 Healthwest Dr Ste 1, Dothan, AL 36303-2051 | 2008-10-29 |
| 1942466073 | Brandy M. Bodiford | Family Medicine | 4550 W Main St Ste 1, Dothan, AL 36305-1130 | 2008-07-29 |
| 1598833667 | Sam R Banner | Family Medicine | 1435 W Main St, Dothan, AL 36301-1311 | 2006-11-30 |
| 1053406777 | Catherine Teresa James - Peters | Family Medicine | 4126 W Main St, Dothan, AL 36305-9310 | 2006-10-04 |
| 1235238635 | Wiregrass Family Practice of Dothan PC | Family Medicine | 1836 W Main St, Dothan, AL 36301-1320 | 2006-09-22 |
| 1083714042 | James S Sullivan M.d. Pa | Family Medicine | 4300 Main St W, Suite 16, Dothan, AL 36301-1098 | 2006-09-22 |
| 1528161015 | James A Robeson | Family Medicine | 207 W Adams Street, Covenant Hospice, Dothan, AL 36303 | 2006-09-07 |
| 1508893116 | Homer Leon Lassiter Jr. | Family Medicine | 500 Healthwest Drive, Dothan, AL 36303 | 2006-06-27 |
| 1033163183 | Gaynel Barry Taylor | Family Medicine | 1206 Columbia Hwy, Dothan, AL 36301-1826 | 2006-05-22 |
| 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.