Dothan Surgery Center

LBN: Wiregrass Clinic Llc
Dothan Surgery Center is an health care organization with primary practice located at 1450 Ross Clark Cir Ste 4 , Dothan AL 36301-4736. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Wiregrass Clinic Llc can be contacted via phone (334) 699-7900, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
1450 Ross Clark Cir Ste 4 Dothan AL 36301-4736
Phone: (334) 699-7900
Fax: (334) 699-7901
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1346817772
LBN Legal business name Wiregrass Clinic Llc
DBA Doing business as Dothan Surgery Center
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2021
Last updated Sep 14th, 2021 - about 5 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 1346817772 NPPES
Florida MEDICAID 003999940

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