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SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING NPI 1487104998


NPI Information

NPI: 1487104998
Provider Name: SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING
Classification: Registered Nurse - 163WD0400X
Entity Type: Organization

Specialization: Diabetes Educator

Address:
1075 S BRANNON STAND RD
DOTHAN, AL
ZIP 36305
Phone: (334) 793-6843
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SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING is a diabetes educator registered nurse in Dothan, AL. SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING NPI is 1487104998. The provider is registered as an organization entity type.

The provider's business location address is:

1075 S BRANNON STAND RD
DOTHAN, AL
ZIP 36305-359
Phone: (334) 793-6843

The provider's authorized official is Dana Eidson .
The authorized official title is Executive Director and has the following contact phone number (334) 793-6843.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 4/18/2019.


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
1251B00000XCase ManagementNo
2163WD0400XRegistered NurseDiabetes Educator1-054943ALABAMAYes

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

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