Contract Details
Houston County Healthcare Authority
Facility name
Southeast Alabama Medical Center
Provider ID
P000002573
NPI
1164403861
Tax ID
636004476
Effective Date
3/15/1995
Direct Contract
No
Status
Active
Contract Discounts
Location Details
Address
1108 Ross Clark Circle
Dothan, AL 36301
United States
Phone
334-793-8111 (Phone)
Billing Details
Address
1108 Ross Clark Circle
Dothan, AL 36301
Billing Phone
334-793-8111
Specialty Type
Diagnostic Services
Map
Address