# DOTHAN AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386710515
- **Authorized official:** MR. SCOTT DAUGHTRY (C.E.O.)
- **Authorized official phone:** (334) 794-4444

## Contact information

- **Practice address:** 923 S FOSTER ST, DOTHAN, AL 36301-3649
- **Practice address phone:** (334) 794-4444
- **Practice address fax:** (334) 712-9335
- **Mailing address:** 923 S FOSTER ST, DOTHAN, AL 36301-3649
- **Mailing address phone:** (334) 794-4444
- **Mailing address fax:** (334) 712-9335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 205 | AL | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 11/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003851800 | — | FL |
| 05 | — | 200035101 | — | AL |
| 01 | — | 51050007 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 590001982 | RAILROAD MEDICARE | AL |
| 05 | — | 796349292A | — | GA |