Organization
TRIAD OF ALABAMA LLC
Active
Other names
Flowers Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
(334) 793-4613
Mailing address
PO BOX 6907, DOTHAN, AL 36302-6907
(334) 793-5000
(334) 793-4613
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
11810
AL
282N00000X
General Acute Care Hospital
Primary
10355
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000745A
—
GA
05
—
010209100
—
FL
05
—
ESW0004L
—
AL
05
—
HOS0055H
—
AL
Enumeration date
06/15/2006
Last updated
04/22/2021
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