Southeast Cardiology Clinic Inc.

LBN: Southeast Cardiology Clinic Inc.
Southeast Cardiology Clinic Inc. is an health care organization with primary practice located at 1150 Ross Clark Cir , Dothan AL 36301-3022. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Southeast Cardiology Clinic Inc. can be contacted via phone (334) 712-1929, or through Bridwell, Donna via phone (334) 712-1929.

Contact Information

Primary practice address
1150 Ross Clark Cir Dothan AL 36301-3022
Phone: (334) 712-1929
Fax: (334) 712-2799
Website:
Map and Directions
Authorized official contact:
Name: Bridwell, Donna
Phone: (334) 712-1929

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1285790915
LBN Legal business name Southeast Cardiology Clinic Inc.
DBA Doing business as
Authorized official Bridwell, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 3rd, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285790915 NPPES
Florida MEDICAID 258388700
Florida MEDICAID 529301110

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