SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY NPI 1083164099

NPI Information

NPI: 1083164099
Provider Name: SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY

Doing Business As: LAKE EUFAULA PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
130 N RANDOLPH AVE
EUFAULA, AL
ZIP 36027
Phone: (334) 688-7451
Get Directions

SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY is a primary care clinic center in Eufaula, AL. SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY NPI is 1083164099. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Eufaula Primary Care.

The provider's business location address is:

130 N RANDOLPH AVE
EUFAULA, AL
ZIP 36027-631
Phone: (334) 688-7451

The provider's authorized official is Natasha Drew .
The authorized official title is Manager and has the following contact phone number (334) 688-7451.

The CLIA number assigned to this NPI record is 01D2123018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 10/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MD33968	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »