| Houston County Healthcare Authority | |
|
4550 W Main St Suite 1 Dothan AL 36305-1130 | |
| (334) 446-4700 | |
| (334) 446-4720 |
| Full Name | Houston County Healthcare Authority |
|---|---|
| Speciality | Family Medicine |
| Location | 4550 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Robert Derek Miller (CFO) |
| Authorized Official Contact | 3347938111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston County Healthcare Authority Po Box 1928 Dothan AL 36302-1928 Ph: (334) 793-8087 | Houston County Healthcare Authority 4550 W Main St Suite 1 Dothan AL 36305-1130 Ph: (334) 446-4700 |
| NPI Number | 1255876181 |
|---|---|
| Provider Enumeration Date | 01/02/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255876181 | NPI | - | NPPES |
| 153687 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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