DOTHAN (1563)    INSTITUTION (4)

Name Value
NAME DOTHAN
STATE ALABAMA
STREET ADDR. 1 2020 ALEXANDER DRIVE
CITY DOTHAN
ZIP 36301-3004
OFFICIAL VA NAME CENTRAL ALABAMA HCS - DOTHAN CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DOTHAN VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-11-06 00:00:00
    STATUS:   ACTIVE
    NPI:   1679526131
  • 2023-10-26 00:00:00
    STATUS:   INACTIVE
    NPI:   1679526131
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 619GB
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   619GB