Active NPI
Wirewall Healthcare Distribution LLC
- Durable Medical Equipment & Medical Supplies
- Dothan, AL
National Provider Identifier
1801705132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WIREWALL HEALTHCARE DISTRIBUTION LLC
- Practice address
- 3600 S Oates St Ste 8
Dothan, AL 36301-0600 - Phone
- (334) 435-7545
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Radcliffe Reid Green
- Title
- Owner Operator
- Phone
- (334) 435-7545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3600 S Oates St Ste 8
Dothan, AL 36301-0600
Mailing address
3600 S Oates St Ste 8
Dothan, AL 36301-0600
Phone (334) 435-7545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1801705132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 S OATES ST STE 8",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363010600",
"telephone_number": "334-435-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S OATES ST STE 8",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363010600",
"telephone_number": "334-435-7545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIREWALL HEALTHCARE DISTRIBUTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "RADCLIFFE",
"authorized_official_middle_name": "REID",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "334-435-7545",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
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- Wiregrass Wound & Amputation Prevention Center, LLC
- Wiregrass Wound Care Consultants LLC
- Wiregrass Wound Care LLC
- Jerry Paul Wisdom III, CRNP
- Jessica Nicole Wisdom, CRNP
- Steven Dwayne Wise, M.D.
- Cindy Womack
- Shannon Richard Womack
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.