Active NPI
The East Alabama Health Care Authority
- Psychiatric Hospital Unit
- Valley, AL
National Provider Identifier
1780251058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- 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 AUTHORITY
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Opelika, AL
- NPI 1659541670
O20040824001092
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1073685483
O20040824001092
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
O20040824001092
-
- General Acute Care Hospital
- Valley, AL
- NPI 1780235002
O20040824001092
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.