Southeast Pain Management Center

LBN: Houston County Healthcare Authority
Southeast Pain Management Center is an health care organization with primary practice located at 1108 Ross Clark Cir , Dothan AL 36301-3022. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Houston County Healthcare Authority can be contacted via phone (334) 793-8087, or through Miller, Derek via phone (334) 793-8087.

Contact Information

Primary practice address
1108 Ross Clark Cir Dothan AL 36301-3022
Phone: (334) 793-8087
Fax: (331) 793-8191
Website:
Map and Directions
Authorized official contact:
Name: Miller, Derek CFO
Phone: (334) 793-8087

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1295745834
LBN Legal business name Houston County Healthcare Authority
DBA Doing business as Southeast Pain Management Center
Authorized official Miller, Derek CFO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1295745834 NPPES
Alabama MEDICAID HOS0001H
Alabama Other 010057

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