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Organization

HOUSTON COUNTY HEALTHCARE AUTHORITY

Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
Houston Prenatal Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
MRS. DEBORAH S WOODHAM CPC (CONTRACT MANAGER)
(334) 793-8087
Entity
Organization

Contact information

Practice address
1806 FAIRVIEW AVE, DOTHAN, AL 36301-3026
(334) 677-5986
(334) 677-4901
Mailing address
PO BOX 578, DOTHAN, AL 36302-0578
(334) 793-8087
(334) 793-8191

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396925517
AL
01
W848
ALABAMA BCBS
AL
Enumeration date
11/05/2007
Last updated
06/04/2008
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