HOUSTON COUNTY HEALTHCARE AUTHORITY (NPI# 1306205497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306205497 |
| Entity Type | Organization |
| Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | ALTACARE PHP |
| Practice Address |
1450 Ross Clark Cir Suite 400a Dothan AL 36301-4765 |
| Mailing Address |
Po Box 1928 Dothan AL 36302-1928 |
| Practice Telephone | 3347944582 |
| Practice Fax Number | 3346719877 |
| Mailing Telephone | 3347938087 |
| Mailing Fax Number | 3346782895 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | MR. ROBERT 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 |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AltaCare PHP | 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 |
| 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 |
| 1649637273 | Houston County Healthcare Authority | Counselor | 1450 Ross Clark Cir, Suite 400b, Dothan, AL 36301-4765 | 2016-01-27 |
| Street Address |
1450 ROSS CLARK CIR SUITE 400A |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-4765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815242 | Dothan Surgery Center, LLC | Clinic/Center | 1450 Ross Clark Cir, Suite 4, Dothan, AL 36301-4736 | 2005-07-19 |
| 1649637273 | Houston County Healthcare Authority | Counselor | 1450 Ross Clark Cir, Suite 400b, Dothan, AL 36301-4765 | 2016-01-27 |
| 1093088908 | Relationship Builders, Inc. | Marriage & Family Therapist | 1450 Ross Clark Cir, Suite 3, Dothan, AL 36301-4765 | 2012-02-23 |
| 1740553643 | Counseling Services of Dothan | Counselor | 1450 Ross Clark Cir, Suite 3, Dothan, AL 36301-4765 | 2012-02-23 |
| 1447521117 | Hannah R Reid | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir, Dothan, AL 36301-4765 | 2012-01-26 |
| 1710256334 | Brittany A Outlaw | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir, Dothan, AL 36301-4765 | 2011-12-28 |
| 1073899886 | Rachel M Webb | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir, Dothan, AL 36301-4765 | 2011-10-25 |
| 1598059065 | Marsha Nor Pascual Mansell | Nurse Practitioner | 1450 Ross Clark Cir, Suite 400, Dothan, AL 36301-4765 | 2011-06-02 |
| 1497052591 | Michael Griffin PC | Technician/Technologist | 1450 Ross Clark Cir, Suite 400, Dothan, AL 36301-4765 | 2011-02-25 |
| 1003070285 | Ross Clark Circle Dialysis LLC | Clinic/Center | 1450 Ross Clark Cir, Ste 200, Dothan, AL 36301-4770 | 2008-07-16 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353672 | Jamison Behavioral Wellness LLC | Psychiatry & Neurology | 256 Honeysuckle Rd Ste 12, Dothan, AL 36305-1168 | 2020-03-30 |
| 1316444912 | Dr. Graham Psychiatric Services, LLC | Psychiatry & Neurology | 256 Honeysuckle Rd Ste 2, Dothan, AL 36305-1168 | 2018-04-10 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1124325121 | Stephanie Parrish | Psychiatry & Neurology | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2011-02-28 |
| 1871749572 | Leona Jean Graham | Psychiatry & Neurology | 1865 Honeysuckle Rd Ste 2, Southeast Alabama Medical Center- Altacare, Dothan, AL 36305-4287 | 2008-08-13 |
| 1417020322 | Madeline Fay Ferrell | Psychiatry & Neurology | 114 E Troy St, Dothan, AL 36303-4844 | 2006-11-16 |
| 1629160890 | Dinesh K Karumanchi | Psychiatry & Neurology | 3753, Ste 4, Ross Clark Cir, Dothan, AL 36303-3089 | 2006-09-28 |
| 1396840047 | Medical Specialties of Dothan, PC | Psychiatry & Neurology | 207 Haven Drive, Dothan, AL 36301 | 2006-09-14 |
| 1366403255 | Sam Carroll West | Psychiatry & Neurology | 207 Haven Dr, Dothan, AL 36301-2919 | 2006-03-30 |
| 1053391581 | Dothan Psychiatric, PC | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2006-01-19 |
| 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.