Organization Active NPI

The East Alabama Health Care Authority

  • Psychiatric Hospital Unit
  • Valley, AL
National Provider Identifier
1780251058
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
THE EAST ALABAMA HEALTH CARE AUTHORITY
Doing business as
Senior Behavioral Health at EAMC-Lanier
Practice address
4800 48TH St
Valley, AL 36854-3666
Phone
(334) 756-9180
NPI assigned
Jun 7, 2021
Organization subpart
Yes
Parent organization
THE EAST ALABAMA HEALTH CARE AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

4800 48TH St
Valley, AL 36854-3666

Mailing address

P.O. Box 348
Valley, AL 36854
Phone (334) 756-9180

Other names 1

  • Senior Behavioral Health at EAMC-Lanier Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824001092 AL Part B Supplier - Clinic/Group Practice 3072403237 Receives reassigned benefits from 144 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valley, AL; Auburn, AL; Opelika, AL

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
Bethany House of East Alabama Medical Center

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1780251058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 348",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "36854",
            "telephone_number": "334-756-9180"
        },
        {
            "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": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "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": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Behavioral Health at EAMC-Lanier",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Behavioral Health at EAMC-Lanier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.