Southeast Alabama Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

PTH3336 Issued in AL

Legal business name

SOUTHEAST ALABAMA MEDICAL CENTER

Practice address

1108 Ross Clark Cir
Attn: Physical Therapy Dept
Dothan, AL 36301-3022

Phone

(334) 712-3726

Fax

(334) 712-3553

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cecilia Land, PT

Title

Director of Rehab

Phone

(334) 712-3726

Specialties & licenses 1

Addresses

Other names 1

• SAMC Other name

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1366626285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIRCLE",
            "address_2": "ATTN: PHYSICAL THERAPY DEPT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-712-3726",
            "fax_number": "334-712-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "address_2": "ATTN: PHYSICAL THERAPY DEPT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-712-3726",
            "fax_number": "334-712-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB",
        "authorized_official_telephone_number": "334-712-3726",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "PTH3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southeast Alabama Counseling and Behavioral Specialist Services, LLC
• Southeast Alabama ENT Head & Neck
• Southeast Alabama Foot Clinic, P.C.
• Southeast Alabama Homecare, LLC
• Southeast Alabama Maternity Care Program
• Southeast Alabama Medical Center Employee Pharmacy
• Southeast Alabama Regional Planning and Development Commission
• Southeast Alabama Rural Health Associates
• Southeast Alabama Surgical LLC
• Southeast Alabama Youth Services

• General Acute Care Hospital in Dothan, AL
• Providers in Dothan, AL by specialty
• General Acute Care Hospital in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.