Spectracare | |
134 Prevatt Rd Dothan AL 36301-5427 | |
(334) 794-0731 | |
Not Available |
Full Name | Spectracare |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 134 Prevatt Rd, Dothan, Alabama |
Authorized Official Name and Position | Melissa Kirkland (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3347122720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spectracare Po Box 1245 2694 South Park Ave. Dothan AL 36302-1245 Ph: (334) 712-2720 | Spectracare 134 Prevatt Rd Dothan AL 36301-5427 Ph: (334) 794-0731 |
NPI Number | 1568638534 |
---|---|
Provider Enumeration Date | 04/30/2008 |
Last Update Date | 04/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568638534 | NPI | - | NPPES |
000008817 | Other | AL | MEDICARE |
590000010 | Medicaid | AL | |
331600587 | Medicaid | AL | |
059726100 | Medicaid | FL | |
20427 | Other | AL | MEDICARESECONDARY |
331000069 | Medicaid | AL | |
330034010 | Medicaid | AL | |
331000067 | Medicaid | AL | |
331000467 | Medicaid | AL | |
51003550 | Other | AL | COMMERCIAL INS. |
33000067 | Medicaid | AL | |
33034010 | Medicaid | AL | |
591500003 | Medicaid | AL | |
14609 | Other | AL | MEDICARE SECONDARY |
330000010 | Medicaid | AL | |
51043902 | Other | AL | BLUE CROSS BLUE SHIELD |
591600003 | Medicaid | AL | |
14635 | Other | AL | MEDICARE SECONDARY |
331600592 | Medicaid | AL |
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