Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Other names
Women's Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COCHRAN CPC (BILLING MANAGER)
(334) 712-3311
Entity
Organization
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
(334) 793-8191
Mailing address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
(334) 793-8191
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51518564
BCBS OF ALABAMA
AL
Enumeration date
10/03/2006
Last updated
11/05/2015
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