Active NPI
Eamc-Lanier Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Valley, AL
National Provider Identifier
1306476197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EAMC-LANIER AMBULATORY SURGERY CENTER, LLC
- Practice address
- 4800 48TH St
Valley, AL 36854-3666 - Phone
- (334) 756-9180
- NPI assigned
- Jan 21, 2020
- Last updated
- May 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel A Price Jr.
- Title
- Cfo
- Phone
- (334) 528-1310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
4800 48TH St
Valley, AL 36854-3666
Mailing address
PO Box 348
Valley, AL 36854-0348
Phone (334) 310-3868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210219000239 | AL | Part B Supplier - Ambulatory Surgical Center | 5890100101 | Practice locations: Valley, AL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eamc Lanier Ambulatory Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2201890 | Eamc-Lanier Ambulatory Surgery Center, LLC | Certificate of waiver | Nov 23, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Eamc-Lanier Rural Emergency Hospital
- General Acute Care Hospital
- Valley, AL
- NPI 1780235002
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1306476197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 348",
"city": "VALLEY",
"state": "AL",
"postal_code": "368540348",
"telephone_number": "334-310-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 48TH ST",
"city": "VALLEY",
"state": "AL",
"postal_code": "368543666",
"telephone_number": "334-756-9180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAMC-LANIER AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "334-528-1310",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley, AL
- Doublevision Eye Care LLC
- Dr Charles J Brazeal PC
- Dr. Richard L. Kuhn
- Heather Nikole Dunn, CNA
- William Wesley Dunn, RPH
- East Alabama Community Prenatal Clinic, LLC
- East Alabama Durable Medical Equipment, Inc
- East Alabama Water, Sewer, & Fire Protection District
- Emergency Medical Specialist
- Emergency Staffing Solutions Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.