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SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI 1710933098


NPI Information

NPI: 1710933098
Provider Name: SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES

Doing Business As: EUFAULA INTERNAL MEDICINE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
23 VETERANS BLVD
EUFAULA, AL
ZIP 36027
Phone: (334) 687-8051
Get Directions

SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES is a federally qualified health center (fqhc) clinic center in Eufaula, AL. SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI is 1710933098. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eufaula Internal Medicine.

The provider's business location address is:

23 VETERANS BLVD
EUFAULA, AL
ZIP 36027-444
Phone: (334) 687-8051
Fax: (334) 687-0470

The provider's authorized official is John A Little .
The authorized official title is Ceo and has the following contact phone number (334) 670-6726.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/20/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11710933098MEDICAIDALABAMA

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

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