NPIMap

Organization Active NPI

Southeast Alabama Regional Healthcare Authority

  • Rural Health Clinic/Center
  • Eufaula, AL
National Provider Identifier
1104248319
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY
Practice address
826 W Washington St
Eufaula, AL 36027-1828
Phone
(334) 688-7000
NPI assigned
Jan 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Debbie Norton
Title
Cfo
Phone
(334) 688-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

826 W Washington St
Eufaula, AL 36027-1828

Mailing address

826 W Washington St
Eufaula, AL 36027-1828
Phone (334) 688-7000

Other names 1

  • Family Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2073471Family Care Clinic826 West Washington Street, Eufaula, AL 36027Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2017 Change of OwnershipThis provider was the seller Family Care ClinicCCN 013456, AL, NPI 1487167375

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1104248319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W WASHINGTON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271828",
            "telephone_number": "334-688-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W WASHINGTON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271828",
            "telephone_number": "334-688-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-688-7272"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eufaula, AL

Sources for this page

Verify at the official NPI Registry.