NPI 1285783134 · live from the CMS NPI Registry
Houston County Healthcare Authority
Internal Medicine in Dothan, AL. National Provider Identifier 1285783134, active.
NPI record
| NPI | 1285783134 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1108 Ross Clark Cir, Dothan, AL 36301 |
| Practice phone | 334-793-8087 |
| Mailing address | Po Box 1928, Dothan, AL 36302 |
| Enumerated | January 9, 2007 |
| Last updated | November 5, 2007 |
| Authorized official | Regina May, Contract Manager |
| Other names | Samc- Profee Billing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.