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HOUSTON COUNTY HEALTHCARE AUTHORITY NPI 1164403861


NPI Information

NPI: 1164403861
Provider Name: HOUSTON COUNTY HEALTHCARE AUTHORITY

Doing Business As: SOUTHEAST HEALTH MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1108 ROSS CLARK CIRCLE
DOTHAN, AL
ZIP 36301
Phone: (334) 793-8111
Get Directions

HOUSTON COUNTY HEALTHCARE AUTHORITY is a general acute care hospital in Dothan, AL. The provider is 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. HOUSTON COUNTY HEALTHCARE AUTHORITY NPI is 1164403861. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Health Medical Center.

The provider's business location address is:

1108 ROSS CLARK CIRCLE
DOTHAN, AL
ZIP 36301-022
Phone: (334) 793-8111
Fax: (334) 793-8779

The provider's authorized official is Robert Derek Miller .
The authorized official title is Cfo and has the following contact phone number (334) 793-8701.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 10/25/2018.


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
1282N00000XGeneral Acute Care Hospital10358ALABAMAYes

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
1010057OTHERALABAMABLUE CROSS
2000001735AMEDICAIDGEORGIA
3HOS0001HMEDICAIDALABAMA
4010206700MEDICAIDFLORIDA

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: 11/14/2023

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.