Contract Details
Houston County Healthcare Authority
Facility name
Westway Medical Office
Provider ID
P000009049
NPI
1255876181
Tax ID
636004476
Effective Date
3/15/1995
Last Updated
1/19/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_051
Location Details
Address
4550 W Main St Suite 1
Dothan, AL 36305
United States
County
Houston
Phone
3344464700 (Phone)
Billing Details
Address
4550 W Main St
Suite 1
Dothan, AL 36305
Billing Phone
3344464700
Specialty Type
General Practice
Map
Address