Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTH CARE AUTHORITY
Other names
SAMC-Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTH CARE AUTHORITY
Authorized official
MR. DEREK MILLER CFO (CHIEF FINANCIAL OFFICER)
(334) 793-8087
Entity
Organization
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8087
(334) 793-8191
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 793-8191
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W167
BCBS OF AL GROUP NUMBER
AL
Enumeration date
09/12/2007
Last updated
11/12/2007
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