THE HEALTHCARE AUTHORITY OF ELBA ALABAMA (NPI# 1629114590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629114590 |
| Entity Type | Organization |
| Organization Name | THE HEALTHCARE AUTHORITY OF ELBA ALABAMA |
| Other Organization Name | JOYCE P. GOETSCH, MD |
| Practice Address |
980 Drayton Ave Elba AL 36323-1404 |
| Practice Telephone | 3348973800 |
| Practice Fax Number | 3348973804 |
| Mailing Telephone | 3348973800 |
| Mailing Fax Number | 3348973804 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | MR. CHRIS NOLAND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3348972257 |
| Authorized Official Credential | MHA, FACHE, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD 21731 | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Joyce P. Goetsch, MD | Doing Business As Name - Organization |
| Street Address |
980 DRAYTON AVE |
| City | ELBA |
| State | AL |
| Zip Code | 36323-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215235072 | Healthcare Authority of Elba | Clinic/Center | 980 Drayton Ave, Elba, AL 36323-1404 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610947 | Timothy Michael Jackson | Dentist | 982 Drayton Avenue, Elba, AL 36323 | 2006-08-24 |
| 1467484493 | Freds Stores of Tennessee Inc | Pharmacy | 966 Hwy 203, Elba, AL 36323 | 2006-07-07 |
| 1871850297 | Noah Tucker Inpatient Services | Internal Medicine | 987 Drayton Street, Elba, AL 36323 | 2012-04-23 |
| 1356490197 | Coffee County Health Dept-elba Mat | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-01-10 |
| 1821123928 | State of Alabama Department of Public Health | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-22 |
| 1649314634 | Coffee County Health Dept-elba Vfc Immun | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1669516373 | Coffee County Health Dept-elba Mat Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1093859894 | Coffee County Health Dept-elba Epsdt Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1710020896 | Coffee County Health Dept-elba Fp Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| 1417090630 | Coffee County Health Dept-elba Epsdt | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| Find all providers in zip 36323 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215235072 | Healthcare Authority of Elba | Clinic/Center | 980 Drayton Ave, Elba, AL 36323-1404 | 2011-03-03 |
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| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.