NPIMap

Organization Active NPI

The Health Care Authority of the City of Eufaula

  • Family Medicine Physician
  • Hurtsboro, AL
National Provider Identifier
1154972883
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA
Practice address
512 Main Street
Hurtsboro, AL 36860
Phone
(334) 232-6551
NPI assigned
Sep 24, 2019
Organization subpart
Yes
Parent organization
THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Julian Cunningham, MBA, MSHA, CMPE
Title
Clinic Operations Director
Phone
(334) 688-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

512 Main Street
Hurtsboro, AL 36860

Mailing address

820 W Washington St
Eufaula, AL 36027-1822
Phone (334) 688-7451

Other names 1

  • Hurtsboro Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180619000582 AL Part B Supplier - Clinic/Group Practice 9335407659 Receives reassigned benefits from 36 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eufaula, AL; Louisville, AL; Hurtsboro, AL
O20230727002468 AL Part A Provider - Critical Access Hospital 9335407659 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisville, AL; Eufaula, AL; Hurtsboro, AL

Hospital certification: CCN 011307

Legal name
THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA
Doing business as
MEDICAL CENTER BARBOUR
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 30, 2024
Last certification
Apr 11, 2024
Beds
35
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Incorporated
Dec 15, 2006 in AL
Enrollment address
820 W Washington St
Eufaula, AL 36027-1822
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Medical Center BarbourCCN 011307
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
The Health Care Authority of the City of Eufaula

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wes Register Individual Corporate DirectorBoard Member Dec 1, 2021
Jack Tibbs Individual Corporate Director Feb 1, 2015
James Jaxon Individual Corporate DirectorVice Chairman Dec 1, 2006
Pam Reeder Individual Corporate DirectorBoard Member Oct 1, 2019
Ben Garrison Individual Corporate DirectorBoard Member Feb 1, 2021
Eugene Harris Individual Corporate DirectorChairman Dec 1, 2006
Jim Martin Individual Corporate DirectorTreasurer Dec 1, 2006
MCBH LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Dec 1, 2017
David Grice Individual Corporate DirectorBoard Member Jan 1, 2023
Janet Kinney Individual Corporate OfficerCeo Aug 1, 2022
William D King Individual Corporate DirectorBoard Member Jan 1, 2015
Kenneth Langford Individual Corporate DirectorBoard Member Feb 1, 2018
Lynda Walters Individual W-2 Managing EmployeeAd; Nov 1, 2018
Alex Moses Individual Corporate DirectorBoard Member Jan 1, 2019
The Health Care Authority of the City of Eufaula Organization, Eufaula, AL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2017 100%
Michael Andrew Kozar Individual Corporate Officer Dec 1, 2017
Operational/Managerial Control Dec 1, 2017

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 91

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1154972883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W WASHINGTON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271822",
            "telephone_number": "334-688-7451",
            "fax_number": "334-688-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN STREET",
            "city": "HURTSBORO",
            "state": "AL",
            "postal_code": "36860",
            "telephone_number": "334-232-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "CLINIC OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "334-688-7451",
        "authorized_official_credential": "MBA, MSHA, CMPE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurtsboro Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurtsboro, AL

Sources for this page

Verify at the official NPI Registry.