Provider Type Icon

HOUSTON COUNTY HEALTHCARE AUTHORITY NPI 1619026606


NPI Information

NPI: 1619026606
Provider Name: HOUSTON COUNTY HEALTHCARE AUTHORITY

Doing Business As: SAMC-ENTERPRISE MEDICAL CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
101 PROFESSIONAL LN
ENTERPRISE, AL
ZIP 36330
Phone: (334) 347-3404
Get Directions

HOUSTON COUNTY HEALTHCARE AUTHORITY is an internal medicine in Enterprise, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HOUSTON COUNTY HEALTHCARE AUTHORITY NPI is 1619026606. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Samc-enterprise Medical Clinic.

The provider's business location address is:

101 PROFESSIONAL LN
ENTERPRISE, AL
ZIP 36330-085
Phone: (334) 347-3404
Fax: (334) 393-0613

The provider's authorized official is Crystal S Foster .
The authorized official title is Contract Manager and has the following contact phone number (334) 793-8087.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 11/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F945OTHERALABAMABLUE CROSS BLUE SHIELD
2CG8472MEDICARE PINALABAMA
3F134MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.