Southeast Cardiovascular

LBN: Houston County Healthcare Authority
Southeast Cardiovascular is an health care organization with primary practice located at 1812 E Main St , Dothan AL 36301-3000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Houston County Healthcare Authority can be contacted via phone (334) 794-2825, or through Miller, Robert Derek via phone (334) 793-8111.

Contact Information

Primary practice address
1812 E Main St Dothan AL 36301-3000
Phone: (334) 794-2825
Fax: (334) 793-5050
Website:
Map and Directions
Authorized official contact:
Name: Miller, Robert Derek
Phone: (334) 793-8111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1285097477
LBN Legal business name Houston County Healthcare Authority
DBA Doing business as Southeast Cardiovascular
Authorized official Miller, Robert Derek
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 4th, 2016
Last updated Apr 4th, 2016 - about 9 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 1285097477 NPPES
Alabama MEDICAID 153687

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