Samc Specialty Clinic
LBN: Houston County Healthcare Authority
Samc Specialty Clinic is an health care organization with primary practice located at 4284 Kelson Ave , Marianna FL 32446-2948. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty.
Houston County Healthcare Authority can be contacted via phone (334) 793-8804, or through Woodham, Deborah S via phone (334) 793-8087.
Contact Information
Primary practice address
4284 Kelson Ave
Marianna FL 32446-2948
Phone: (334) 793-8804
Fax: (334) 699-4473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | OS12208 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1245389303 |
|---|---|
| LBN Legal business name | Houston County Healthcare Authority |
| DBA Doing business as | Samc Specialty Clinic |
| Authorized official | Woodham, Deborah S CPC |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Mar 8th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245389303 | NPPES |
| Florida | Other | 39888B | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 660005100 | BLUE CROSS BLUE SHIELD |
| Florida | Other | DD1649 | BLUE CROSS BLUE SHIELD |
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