Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTH CARE AUTHORITY DBA SOUTHEAST ALABAMA MEDICAL CEN
Other names
Advanced Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTH CARE AUTHORITY DBA SOUTHEAST ALABAMA MEDICAL CEN
Authorized official
ROBERT MILLER CFO (CFO)
(334) 712-3312
Entity
Organization
Contact information
Practice address
2253 THIRD AVE, SUITE 1, DOTHAN, AL 36301-5303
(334) 712-3312
(334) 712-3317
Mailing address
2253 THIRD AVE, SUITE 1, DOTHAN, AL 36301-5303
(334) 712-3312
(334) 712-3317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0003112
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000057683
—
AL
05
—
00521463-A
—
GA
01
—
51097062
BCBS AL
AL
05
—
950246700
—
FL
Enumeration date
05/15/2006
Last updated
02/01/2016
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