Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
Southeast Reference Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
DEBORAH S. WOODHAM CPC (CONTRACT MANAGER)
(334) 793-8087
Entity
Organization
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8048
(334) 712-3122
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8048
(334) 712-3122
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200812031750
AL
Other
Enumeration date
04/28/2009
Last updated
07/20/2012
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