Organization Active NPI

Triad of Alabama LLC

Doing business as Tristate Arrhythmia Clinic

  • Multi-Specialty Clinic/Center
  • Dothan, AL
National Provider Identifier
1700820891
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRIAD OF ALABAMA LLC
Doing business as
Tristate Arrhythmia Clinic
Practice address
4300 W Main St
Suite 41
Dothan, AL 36305-1054
Phone
(334) 793-5000
NPI assigned
Jun 16, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIAD OF ALABAMA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Debbie Brewer
Title
Director
Phone
(615) 465-7626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4300 W Main St
Suite 41
Dothan, AL 36305-1054

Mailing address

7100 Commerce Way
Ste. 180
Brentwood, TN 37027-2829
Phone (615) 465-7626

Other names 1

  • Tristate Arrhythmia Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Triad of Alabama LLC

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1700820891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "STE. 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7626",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST",
            "address_2": "SUITE 41",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051054",
            "telephone_number": "334-793-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD OF ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD OF ALABAMA LLC",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tristate Arrhythmia Clinic",
            "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 Oct 18, 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.