Healthcare Provider Details

I. General information

NPI: 1760367882
Provider Name (Legal Business Name): HEALTH CARE AUTHORITY OF THE CITY OF OXFORD, ALABAMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 LUTTRELL ST
OXFORD AL
36203-1732
US

IV. Provider business mailing address

PO BOX 3859
OXFORD AL
36203-0859
US

V. Phone/Fax

Practice location:
  • Phone: 256-474-9998
  • Fax:
Mailing address:
  • Phone: 256-474-9998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS EARL DIXON JR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 256-474-9998