NPIMap

Organization Active NPI

Houston County Healthcare Authority

Doing business as Advanced Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
National Provider Identifier
1457302218
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0003112 Issued in AL
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Doing business as
Advanced Home Medical Equipment
Practice address
2253 Third Ave
Suite 1
Dothan, AL 36301-5303
Phone
(334) 712-3312
Fax
(334) 712-3317
NPI assigned
May 15, 2006
Organization subpart
Yes
Parent organization
HOUSTON COUNTY HEALTH CARE AUTHORITY DBA SOUTHEAST ALABAMA MEDICAL CENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Robert Miller, CFO
Title
Cfo
Phone
(334) 712-3312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0003112 AL Primary

Addresses

Primary practice location

2253 Third Ave
Suite 1
Dothan, AL 36301-5303

Mailing address

2253 Third Ave
Suite 1
Dothan, AL 36301-5303
Phone (334) 712-3312

Other identifiers 4

IdentifierTypeStateIssuer
00521463-AMedicaidGA
000057683MedicaidAL
950246700MedicaidFL
51097062OtherALBCBS AL

Other names 1

  • Advanced Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Part of
Houston County Hlthcare

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1457302218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 THIRD AVE",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363015303",
            "telephone_number": "334-712-3312",
            "fax_number": "334-712-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 THIRD AVE",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363015303",
            "telephone_number": "334-712-3312",
            "fax_number": "334-712-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON COUNTY HEALTH CARE AUTHORITY DBA SOUTHEAST ALABAMA MEDICAL CEN",
        "enumeration_date": "2006-05-15",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-712-3312",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "0003112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00521463-A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000057683",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950246700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51097062",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.