Samc Specialty Clinic

LBN: Houston County Healthcare Authority
Samc Specialty Clinic is an health care organization with primary practice located at 4284 Kelson Ave , Marianna FL 32446-2948. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Houston County Healthcare Authority can be contacted via phone (334) 793-8804, or through Woodham, Deborah S via phone (334) 793-8087.

Contact Information

Primary practice address
4284 Kelson Ave Marianna FL 32446-2948
Phone: (334) 793-8804
Fax: (334) 699-4473
Website:
Map and Directions
Authorized official contact:
Name: Woodham, Deborah S CPC
Phone: (334) 793-8087

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X OS12208 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1245389303
LBN Legal business name Houston County Healthcare Authority
DBA Doing business as Samc Specialty Clinic
Authorized official Woodham, Deborah S CPC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 9th, 2007
Last updated Mar 8th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245389303 NPPES
Florida Other 39888B BLUE CROSS BLUE SHIELD
Florida MEDICAID 660005100 BLUE CROSS BLUE SHIELD
Florida Other DD1649 BLUE CROSS BLUE SHIELD

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