DOTHAN FAMILY HEALTH CENTER - NPI 1194087593 - Clinic/Center in Dothan, AL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Dothan Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOTHAN FAMILY HEALTH CENTER (NPI 1194087593) is a healthcare organization registered as a federally qualified health center (fqhc) in Dothan, Alabama and active in the NPI registry since June 2012. The organization holds an CLIA Accreditation certificate valid through September 12, 2027 and lists Pamylon Bowers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194087593

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES

Location Address4300 W MAIN ST STE 300Dothan, AL 36305-1313

Mailing Address1414 Elba HwyTroy, AL 36079-6020 · (334) 670-6726 · Fax (334) 670-6731

Phone(334) 446-0076

Fax(334) 406-0203

Organization SubpartNo

Authorized OfficialPamylon BowersCeo · (334) 670-6726

Enumeration DateJune 12, 2012

Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2022

✔ NPI 1194087593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

4300 W MAIN ST STE 300, Dothan, AL 36305

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Other Names 1

Doing Business AsDothan Family Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D2043066

Dothan Family Health Center · Dothan, AL

Active · expires Sep 12, 2027

CLIA Number01D2043066

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 13, 2025

Certificate Expiration DateSeptember 12, 2027

Laboratory DirectorJoseph H. Sewell MD

Laboratory Phone(334) 446-0076

Laboratory LocationDothan Family Health Center4300 West Main St Suite 300, Dothan, AL 36305

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET LYNN ELLIS M.S.W., L.C.S.W., PI

Social Worker (Clinical)