Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY DBA SOUTHEAST AL MEDICAL CENTER
Other names
Advanced Home Medical Enterprise
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY DBA SOUTHEAST AL MEDICAL CENTER
Authorized official
MICHELLE COCHRAN CPC (BILLING MANAGER)
(334) 712-3311
Entity
Organization
Contact information
Practice address
1109 BOLL WEEVILL CIRCLE, SUITE 3, ENTERPRISE, AL 36330-2063
(334) 393-5010
(334) 393-5013
Mailing address
PO BOX 1388, DOTHAN, AL 36302-1388
(334) 393-5010
(334) 393-5013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51543257
BCBS AL
AL
Enumeration date
01/24/2007
Last updated
11/17/2015
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