NPIMap

Organization Active NPI

Southeast Alabama Regional Healthcare Authority

  • Primary Care Clinic/Center
  • Eufaula, AL
National Provider Identifier
1083164099
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD33968 Issued in AL
Legal business name
SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY
Practice address
130 N Randolph Ave
Eufaula, AL 36027-1631
Phone
(334) 688-7451
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natasha Drew
Title
Manager
Phone
(334) 688-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD33968 AL Primary

Addresses

Primary practice location

130 N Randolph Ave
Eufaula, AL 36027-1631

Mailing address

130 N Randolph Ave
Eufaula, AL 36027-1631
Phone (334) 688-7451

Other names 1

  • Lake Eufaula Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

826 W Washington St
Eufaula, AL 36027
Phone (334) 687-8051

130 N Randolph Ave
Eufaula, AL 36027
Phone (334) 687-1973

130B N Randolph Ave
Eufaula, AL 36027
Phone (334) 232-4313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1083164099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N RANDOLPH AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271631",
            "telephone_number": "334-688-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N RANDOLPH AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271631",
            "telephone_number": "334-688-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-688-7451"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "MD33968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Eufaula Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.