WIREGRASS MEDICAL HOLDINGS LLC (NPI# 1255989307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255989307 |
| Entity Type | Organization |
| Organization Name | WIREGRASS MEDICAL HOLDINGS LLC |
| Other Organization Name | WIREGRASS HME |
| Practice Address |
566 W Carroll St Ste 3 Dothan AL 36301-4376 |
| Practice Telephone | 3344465285 |
| Mailing Telephone | 3344465285 |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | MR. JONATHAN L EUBANKS (PARTNER) |
| Authorized Official Telephone | 3344465285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Wiregrass HME | Doing Business As Name - Organization |
| Street Address |
566 W CARROLL ST STE 3 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-4376 |
| 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 | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595278 | Specialists of Enterprise, Inc | Durable Medical Equipment & Medical Supplies | 321 Westgate Pkwy, Suite #4, Dothan, AL 36303-2962 | 2006-07-06 |
| 1235197534 | Pitzing Pharmaceuticals, Inc. | Durable Medical Equipment & Medical Supplies | 1023 S Oates St, Dothan, AL 36301-3543 | 2006-05-03 |
| 1538156278 | Southern Home Respiratory Inc | Durable Medical Equipment & Medical Supplies | 1386 Ross Clark Cir, Dothan, AL 36301-4117 | 2005-09-27 |
| 1922540442 | Horizon Health Care Services Inc | Durable Medical Equipment & Medical Supplies | 335 S Saint Andrews St, Dothan, AL 36301-2675 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353363 | Health Now Jackson, LLC | Durable Medical Equipment & Medical Supplies | 3802 N College Ave Ste 107, Jackson, AL 36545-2046 | 2020-07-16 |
| 1578185963 | At Home Medical Inc | Durable Medical Equipment & Medical Supplies | 108 N Randolph Ave, Eufaula, AL 36027-1631 | 2020-05-08 |
| 1013577519 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 234 Oxmoor Cir Ste 208, Homewood, AL 35209-6439 | 2019-06-17 |
| 1144706136 | Oxymed, LLC | Durable Medical Equipment & Medical Supplies | 333 Greeno Rd S Ste C, Fairhope, AL 36532-1931 | 2018-07-13 |
| 1548707847 | Southern Patient Care, Inc. | Durable Medical Equipment & Medical Supplies | 839 Airport Dr Ste 102, Alex City, AL 35010-3451 | 2017-01-24 |
| 1932642386 | Hair Designs & Restoration Center LLC | Durable Medical Equipment & Medical Supplies | 24375 Us Highway 80 W, Demopolis, AL 36732-5018 | 2016-12-01 |
| 1710342308 | Southeastern Home Oxygen Service, Inc. | Durable Medical Equipment & Medical Supplies | 2310 Crawford Rd Ste 106, Phenix City, AL 36867-3612 | 2015-12-23 |
| 1861897324 | Wave Medical Equipment | Durable Medical Equipment & Medical Supplies | 333 Greeno Rd S, Suite C, Fairhope, AL 36532-1930 | 2014-10-27 |
| 1831501493 | Imed Equip LLC | Durable Medical Equipment & Medical Supplies | 1201 3rd Ave North, Birmingham, AL 35203 | 2014-05-29 |
| 1508207267 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 210 Bearden Rd, Pelham, AL 35124 | 2013-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WIREGRASS MEDICAL HOLDINGS LLC.
| 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.