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Organization

HOUSTON COUNTY HEALTHCARE AUTHORITY

Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
CliniCare
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
MR. DEREK MILLER (CFO)
(334) 793-8087
Entity
Organization

Contact information

Practice address
1806 FAIRVIEW AVE STE A, DOTHAN, AL 36301-3026
(334) 793-8087
(334) 793-8191
Mailing address
PO BOX 578, DOTHAN, AL 36302-0578
(334) 793-8087
(334) 793-8191

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-022372
AL

Other

Enumeration date
02/11/2009
Last updated
02/11/2009
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