TRIAD OF ALABAMA LLC (NPI# 1801830500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801830500 |
| Entity Type | Organization |
| Organization Name | TRIAD OF ALABAMA LLC |
| Other Organization Name | FLOWERS HOSPITAL |
| Practice Address |
4370 W Main St Dothan AL 36305-1056 |
| Mailing Address |
Po Box 6907 Dothan AL 36302-6907 |
| Practice Telephone | 3347935000 |
| Practice Fax Number | 3347934613 |
| Mailing Telephone | 3347935000 |
| Mailing Fax Number | 3347934613 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
11810 | AL | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 10355 | AL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010209100 | 05 | |
| AL | HOS0055H | 05 | |
| GA | 00000745A | 05 | |
| AL | ESW0004L | 05 |
| Other Name | Type Code |
|---|---|
| Flowers Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538111646 | Triad of Alabama LLC | Durable Medical Equipment & Medical Supplies | 119 S Woodburn Dr, Suite 1, Dothan, AL 36305-1050 | 2006-05-17 |
| 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 |
| 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 |
4370 W MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061619 | Richard D Key | Pathology | 4370 W Main St, Dothan, AL 36305-1056 | 2005-08-25 |
| 1467064089 | Regan Woodham | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2020-08-17 |
| 1871114090 | Hillary Ryan Mclemore | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-4000 | 2020-04-28 |
| 1255981908 | Jessica Pastino | Dietitian, Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-09-15 |
| 1255980439 | Madeline Eidson | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2019-09-10 |
| 1720646102 | Austin Wyatt Bivins | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2019-05-31 |
| 1972076859 | Tillman Hall | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-01-03 |
| 1245713684 | App of Alabama Hm, LLC | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2018-09-12 |
| 1376029744 | Debra Elaine Phillips | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2018-07-18 |
| 1801382478 | Veronica Diane Doss | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305 | 2018-07-07 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403861 | Houston County Healthcare Authority | General Acute Care Hospital | 1108 Ross Clark Circle, Dothan, AL 36301-3022 | 2005-11-09 |
| 1295161396 | Managed Health Care Administration, Inc | General Acute Care Hospital | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-09-20 |
| 1366626285 | Southeast Alabama Medical Center | General Acute Care Hospital | 1108 Ross Clark Cir, Attn: Physical Therapy Dept, Dothan, AL 36301-3022 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609311000 | Mobile Infirmary Association | General Acute Care Hospital | 1721 Spring Hill Ave, Mobile, AL 36604-1402 | 2016-12-21 |
| 1518349448 | Baptist Health | General Acute Care Hospital | 109 Bowen Bnd, Wetumpka, AL 36093-2592 | 2015-06-27 |
| 1497162085 | Belinda Beaver | General Acute Care Hospital | 25627 Lakeland Dr, Loxley, AL 36551-7453 | 2014-07-16 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1346684008 | University of Alabama At Birmingham Hospital | General Acute Care Hospital | Fot 1034 1530 3rd Ave S, Birmingham, AL 35294-3410 | 2013-04-24 |
| 1528311271 | Univ. of Alabama Birmingham Hospital | General Acute Care Hospital | 510 20th St. So (fot-1164), Uab, Plastic Surgery, Birmingham, AL 35294-3411 | 2012-10-18 |
| 1588928618 | Princeton Baptist Medical Center | General Acute Care Hospital | 187 Lorrin Ln, Sterrett, AL 35147-9528 | 2012-07-04 |
| 1043585680 | Uahsf | General Acute Care Hospital | 914 Medical Education Building 1813 6th Ave S, Birmingham, AL 35294-0001 | 2012-03-15 |
| 1598052219 | University of Alabama At Birmingham Hospital | General Acute Care Hospital | 510 20th St S # Fot1020, Birmingham, AL 35233-2028 | 2011-07-01 |
| 1023311644 | University of Alabama At Birmingham | General Acute Care Hospital | Fot 930, 1530 3rd Ave S, Birmingham, AL 35294-0019 | 2010-12-21 |
| Find all providers with the same taxonomy | ||||
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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.