| Southeast Alabama Rural Health Associates | |
|
4300 W Main St Ste 300 Dothan AL 36305-1313 | |
| (334) 446-0076 | |
| (334) 406-0203 |
| Full Name | Southeast Alabama Rural Health Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 4300 W Main St Ste 300, Dothan, Alabama |
| Authorized Official Name and Position | Pamylon Bowers (CEO) |
| Authorized Official Contact | 3346706726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Alabama Rural Health Associates 1414 Elba Hwy Troy AL 36079-6020 Ph: (334) 670-6726 | Southeast Alabama Rural Health Associates 4300 W Main St Ste 300 Dothan AL 36305-1313 Ph: (334) 446-0076 |
| NPI Number | 1194087593 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 4789625948 |
|---|---|
| Medicare Enrollment ID | O20120823000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194087593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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