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NATHANAEL MEDICAL CENTER
NPI 1558616029
Clinic/Center - Primary Care in Dothan, AL

Active since July 19, 2012
1435 W MAIN ST, DOTHAN, AL 36301(334) 702-8872(334) 702-8957 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathanael Medical Center NPPES

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

NATHANAEL MEDICAL CENTER (NPI 1558616029) is a healthcare organization registered as a primary care in Dothan, Alabama and active in the NPI registry since July 2012. The organization lists Sammy Banner, President, as its authorized official.

NPPES Registry Identity

NPI1558616029
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREALM INCORPORATED
Location Address1435 W MAIN STDothan, AL 36301-1311
Mailing AddressPo Box 8307Dothan, AL 36304-0307 · (334) 702-8872 · Fax (334) 702-8957
Phone(334) 702-8872
Fax(334) 702-8957
Organization SubpartNo
Authorized OfficialSammy BannerPresident · (334) 702-8872
Enumeration DateJuly 19, 2012
✔ NPI 1558616029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AL · DO190
1435 W MAIN ST, Dothan, AL 36301
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Other Names 1

Doing Business AsNathanael Medical Center

Other Identifiers 2

Medicare UPINE01167AL
Medicare PIN000033060AL

Other Providers at the Same Location NPPES 2

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

VITAS HEALTHCARE CORPORATION OF FLORIDA
Hospice Care, Community Based
1435 W MAIN ST
DOTHAN, AL 36301
Houston County (305) 350-4143
LISA L DELONEY NP
Nurse Practitioner
1435 W MAIN ST
DOTHAN, AL 36301
Houston County (334) 794-7847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Realm Incorporated's NPI number?

The NPI number for Realm Incorporated is 1558616029. It was assigned to this organization in the NPPES registry on July 19, 2012. The provider is doing business as Nathanael Medical Center.

Where is Realm Incorporated located?

Realm Incorporated is located at 1435 W Main St, Dothan, AL 36301. The listed phone number is (334) 702-8872.

What is Realm Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Realm Incorporated was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.