TRIAD OF ALABAMA LLC (NPI# 1538111646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538111646 |
| Entity Type | Organization |
| Organization Name | TRIAD OF ALABAMA LLC |
| Other Organization Name | BREATHING CARE ASSOCIATES - DOTHAN |
| Practice Address |
119 S Woodburn Dr Suite 1 Dothan AL 36305-1050 |
| Mailing Address |
Po Box 1964 Dothan AL 36302-1964 |
| Practice Telephone | 3347939674 |
| Mailing Telephone | 3347939674 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-04-14 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIAD OF ALABAMA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 8889 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000494183A | 05 | |
| AL | 009940105 | 05 |
| Other Name | Type Code |
|---|---|
| Breathing Care Associates - Dothan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063464204 | Triad of Alabama LLC | Clinic/Center | 314 Macon St, Eufaula, AL 36027-1810 | 2006-05-16 |
| 1306898549 | Triad of Alabama LLC | Clinic/Center | 322 Andrews Ave, Suite 2, Ozark, AL 36360-3810 | 2006-05-16 |
| 1740232982 | Triad of Alabama LLC | Clinic/Center | 2423 Martin Luther King Jr Blvd, Panama City, FL 32405-4405 | 2006-05-16 |
| 1700820891 | Triad of Alabama LLC | Clinic/Center | 4300 W Main St, Suite 41, Dothan, AL 36305-1054 | 2006-06-16 |
| 1801830500 | Triad of Alabama LLC | Clinic/Center | 4370 W Main St, Dothan, AL 36305-1056 | 2006-06-15 |
| 1710921416 | Triad of Alabama LLC | Clinical Medical Laboratory | 4370 W Main St, Dothan, AL 36305-1056 | 2006-06-15 |
| 1407890106 | Triad of Alabama LLC | Pharmacy | 119 S Woodburn Dr, Suite 2, Dothan, AL 36305-1050 | 2006-06-15 |
| 1528013034 | Triad of Alabama LLC | Durable Medical Equipment & Medical Supplies | 121 N Main St, Enterprise, AL 36330-2536 | 2006-05-23 |
| 1225082951 | Triad of Alabama LLC | Family Medicine | 4300 W Main St, Suite 2, Dothan, AL 36305-1054 | 2006-05-19 |
| Street Address |
119 S WOODBURN DR SUITE 1 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407890106 | Triad of Alabama LLC | Pharmacy | 119 S Woodburn Dr, Suite 2, Dothan, AL 36305-1050 | 2006-06-15 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989307 | Wiregrass Medical Holdings LLC | Durable Medical Equipment & Medical Supplies | 566 W Carroll St Ste 3, Dothan, AL 36301-4376 | 2019-09-02 |
| 1568833192 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3871 W Main St, Dothan, AL 36305-9394 | 2015-10-08 |
| 1295144848 | Universal Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 509 W Washington St, Dothan, AL 36301-2442 | 2014-08-07 |
| 1356695662 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 126 S Alice St, Suite 4, Dothan, AL 36301-1651 | 2012-11-08 |
| 1124376652 | Solara Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 111 Adris Pl Ste 7, Dothan, AL 36303-2006 | 2012-08-15 |
| 1063704690 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 3525 Ross Clark Cir, Suite 100, Dothan, AL 36303-5933 | 2011-05-16 |
| 1053628826 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 4650 W Main St Ste 700, Dothan, AL 36305-9421 | 2010-09-01 |
| 1306151782 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3574 Montgomery Hwy, Dothan, AL 36303-2165 | 2010-08-10 |
| 1609104736 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2830 Horace Shepard Dr, Suite 2, Dothan, AL 36303-1007 | 2009-12-01 |
| 1508095852 | Cypress Therapeutic Footwear LLC | Durable Medical Equipment & Medical Supplies | 3818 Napier Field Rd Lot G714, Dothan, AL 36303-0932 | 2009-07-08 |
| 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.