Provider Demographics
NPI:1497752281
Name:NOLAND HOSPITAL DOTHAN II, LLC
Entity Type:Organization
Organization Name:NOLAND HOSPITAL DOTHAN II, LLC
Other - Org Name:NOLAND HOSPITAL DOTHAN II, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REGULATORY AFFAIRS
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ESTEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-783-8470
Mailing Address - Street 1:600 CORPORATE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5451
Mailing Address - Country:US
Mailing Address - Phone:205-783-8470
Mailing Address - Fax:205-783-8441
Practice Address - Street 1:1108 ROSS CLARK CIR
Practice Address - Street 2:FL 4
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3022
Practice Address - Country:US
Practice Address - Phone:334-699-4300
Practice Address - Fax:334-699-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALH3506282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
012010Medicare Oscar/Certification