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Contact Information

SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING
1075 S BRANNON STAND RD
DOTHAN, AL36305-7359
 Phone: 334-793-6843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING

NPI # 1487104998
LBN Legal business name SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING
Authorized official DANA EIDSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2016
Last updated 04/18/2019 - About 7 years ago
Identifiers
AL License # 1-054943
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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