Medpeds Of Dothan Inc

LBN: Medpeds Of Dothan Inc
Medpeds Of Dothan Inc is an health care organization with primary practice located at 318 Westgate Pkwy Ste 2 , Dothan AL 36303-2963. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Medpeds Of Dothan Inc can be contacted via phone (334) 671-2895, or through Boutwell, Kristin via phone (334) 671-2895.

Contact Information

Primary practice address
318 Westgate Pkwy Ste 2 Dothan AL 36303-2963
Phone: (334) 671-2895
Fax: (334) 712-9430
Website:
Map and Directions
Authorized official contact:
Name: Boutwell, Kristin
Phone: (334) 671-2895

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00024928 Alabama
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 00024928 Alabama

Profile Details

NPI number 1427252766
LBN Legal business name Medpeds Of Dothan Inc
DBA Doing business as
Authorized official Boutwell, Kristin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated Jul 16th, 2007 - about 18 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 1427252766 NPPES
Alabama MEDICAID 009946055

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