NPIMap

Organization Active NPI

Houston Co Healthcare Authority Dba Enterprise Sleep Clinic

Doing business as Enterprise Sleep Clinic

  • Physiological Laboratory
  • Enterprise, AL
National Provider Identifier
1063509297
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
HOUSTON CO HEALTHCARE AUTHORITY DBA ENTERPRISE SLEEP CLINIC
Doing business as
Enterprise Sleep Clinic
Practice address
101 Professional LN Ste a
Enterprise, AL 36330-2085
Phone
(334) 347-3404
Fax
(334) 393-0613
NPI assigned
Oct 9, 2006
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HOUSTON CO HEALTHCARE AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Crystal S Foster
Title
Contract Manager
Phone
(334) 793-8087

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary
Neurology Physician 2084N0400X

Addresses

Primary practice location

101 Professional LN Ste a
Enterprise, AL 36330-2085

Mailing address

PO Box 1928
Dothan, AL 36302-1928
Phone (334) 793-8087

Other identifiers 1

IdentifierTypeStateIssuer
C867OtherALBCBS OF ALABAMA GROUP

Other names 1

  • Enterprise Sleep Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0641726Southeast Health Enterprise Clinic101 Professional Lane, Enterprise, AL 36330AccreditationAug 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Houston Cogeneva Med GRP17 organizations share this tax ID, including this one
Part of
Houston Cogeneva Med GRP

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1063509297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021928",
            "telephone_number": "334-793-8087",
            "fax_number": "334-793-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL LN STE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302085",
            "telephone_number": "334-347-3404",
            "fax_number": "334-393-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON CO HEALTHCARE AUTHORITY DBA ENTERPRISE SLEEP CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON  CO HEALTHCARE AUTHORITY",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "334-793-8087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA GROUP",
            "identifier": "C867",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enterprise Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.