Spectracare Health Systems, Inc., NPI 1215990734
Mental Health Clinic/Center (Including Community Mental Health Center) in Dothan, AL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1215990734 |
| NPI Entity Type | Organization |
| Provider Name |
Spectracare Health Systems, Inc.
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 134 Prevatt Rd, Dothan, AL, US |
| Provider Mailing Address | Po Box 1245, 2694 South Park Ave., Dothan, AL, US, 363021245 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Melissa Kirkland |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 334-712-2720 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center) |
| Classification | |
| Group | |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
No | ||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 331000069 | AL | MEDICAID | 05 |
| 331000467 | AL | MEDICAID | 05 |
| 059726100 | FL | MEDICAID | 05 |
| 330034010 | AL | MEDICAID | 05 |
| 51003550 | AL | COMMERCIAL INSURANCE | 01 |
| 008412000 | AL | MEDICAID | 05 |
| 331600592 | AL | MEDICAID | 05 |
| 591600003 | AL | MEDICAID | 05 |
| 008301620 | AL | MEDICAID | 05 |
| 330000010 | AL | MEDICAID | 05 |
| 33000010 | AL | MEDICAID | 05 |
| 331000067 | AL | MEDICAID | 05 |
| 51043903 | AL | BLUE CROSS BLUE SHIELD | 01 |
| 590000010 | AL | MEDICAID | 05 |
| 591500003 | AL | MEDICAID | 05 |
| 331600587 | AL | MEDICAID | 05 |
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