SPECTRACARE HEALTH SYSTEMS, INC.
NPI 1215990734
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dothan, AL
NPI Status: Active since April 07, 2006
Contact Information
134 PREVATT RD
DOTHAN, AL
ZIP 36301
Phone: (334) 794-0731
Fax: (334) 671-9199
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
- CLIA Number: 01D2320849
- CLIA Cert. Type: Other - ADULT OUTPATIENT CLINIC
- CLIA Exp. Date: 03-24-2027
About SPECTRACARE HEALTH SYSTEMS, INC.
This page provides the complete NPI Profile along with additional information for Spectracare Health Systems, Inc., a provider established in Dothan, Alabama operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1215990734 assigned on April 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's former legal business name is Wiregrass Mental Health Board, Inc.. The authorized official of this NPI record is Ms. Melissa Kirkland (Executive Director)
- NPI
- 1215990734
- Provider Legal Name
- SPECTRACARE HEALTH SYSTEMS, INC.
- Other Organization Name
- WIREGRASS MENTAL HEALTH BOARD, INC.
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 134 PREVATT RD DOTHAN, AL 36301
- Location Phone
- (334) 794-0731
- Location Fax
- (334) 671-9199
- Mailing Address
- PO BOX 1245 2694 SOUTH PARK AVE. DOTHAN, AL 36302
- Mailing Phone
- (334) 712-2720
- Mailing Fax
- (334) 671-9199
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2006
- Last Update Date
- 11-28-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 2 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51003550 | OTHER (01) | AL | COMMERCIAL INSURANCE |
| 33000010 | MEDICAID (05) | AL | |
| 20427 | MEDICARE ID-TYPE UNSPECIFIED (04) | AL | MEDICARE SECONDARY |
| 331000067 | MEDICAID (05) | AL | |
| 014609 | MEDICARE ID-TYPE UNSPECIFIED (04) | AL | MEDICARE SECONDARY |
| 331000467 | MEDICAID (05) | AL | |
| 008301620 | MEDICAID (05) | AL | |
| 059726100 | MEDICAID (05) | FL | |
| 51043903 | OTHER (01) | AL | BLUE CROSS BLUE SHIELD |
| 008412000 | MEDICAID (05) | AL | |
| 330000010 | MEDICAID (05) | AL | |
| 331000069 | MEDICAID (05) | AL | |
| 590000010 | MEDICAID (05) | AL | |
| 014635 | MEDICARE ID-TYPE UNSPECIFIED (04) | AL | MEDICARE SECONDARY |
| 330034010 | MEDICAID (05) | AL | |
| 331600592 | MEDICAID (05) | AL | |
| 591500003 | MEDICAID (05) | AL | |
| 591600003 | MEDICAID (05) | AL | |
| 000008817 | MEDICARE ID-TYPE UNSPECIFIED (04) | AL | MEDICARE PHYSICIANS PART |
| 331600587 | MEDICAID (05) | AL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D2320849
- Facility Type
- Other - ADULT OUTPATIENT CLINIC
- Certificate Effective Date
- March 25, 2025
- Certificate Expiration Date
- March 24, 2027
- Laboratory Director
- MS. MELISSA KIRKLAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spectracare Health Systems, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215990734, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
DOTHAN, AL 36301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215990734, enumerated as an "organization" on April 07, 2006.
The provider is located at 134 PREVATT RD DOTHAN, AL 36301 and the phone number is (334) 794-0731.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare,. Please consult your insurance carrier or call the provider to verify.
