SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY (NPI# 1861875361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861875361 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY |
| Other Organization Name | EUFAULA FAMILY PRACTICE |
| Practice Address |
617b E Broad St Eufaula AL 36027-1710 |
| Mailing Address |
820 W Washington St Eufaula AL 36027-1822 |
| Practice Telephone | 3346887128 |
| Practice Fax Number | 3346887127 |
| Mailing Telephone | 3346887127 |
| Mailing Fax Number | 3346887127 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | LYNDA WALTERS (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 3346887128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-10198 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | TEMPORARY LICENSES # | 1-100198 | 01 |
| Other Name | Type Code |
|---|---|
| Eufaula Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013399625 | Southeast Alabama Regional Healthcare Authority | Family Medicine | 617b E Broad St, Eufaula, AL 36027-1710 | 2015-06-19 |
| 1104248319 | Southeast Alabama Regional Healthcare Authority | Clinic/Center | 826 W Washington St, Eufaula, AL 36027-1828 | 2014-01-08 |
| 1801029822 | Southeast Alabama Regional Healthcare Authority | Clinic/Center | 31 Railroad Street, Louisville, AL 36048 | 2009-08-25 |
| 1346773272 | Southeast Alabama Regional Healthcare Authority | Surgery | 825 W Washington St, Eufaula, AL 36027-1847 | 2017-04-07 |
| 1083164099 | Southeast Alabama Regional Healthcare Authority | Clinic/Center | 130 N Randolph Ave, Eufaula, AL 36027-1631 | 2016-10-13 |
| 1831352640 | Southeast Alabama Regional Healthcare Authority | Psychiatric Unit | 820 W Washington St, Eufaula, AL 36027-1822 | 2008-07-02 |
| 1598790941 | Southeast Alabama Regional Healthcare Authority | Medicare Defined Swing Bed Unit | 820 W Washington St, Eufaula, AL 36027-1855 | 2006-07-12 |
| Street Address |
617B E BROAD ST |
| City | EUFAULA |
| State | AL |
| Zip Code | 36027-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013399625 | Southeast Alabama Regional Healthcare Authority | Family Medicine | 617b E Broad St, Eufaula, AL 36027-1710 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093201022 | Kayla Hudspeth | Student in an Organized Health Care Education/Training Program | 1809 Highway 131, Eufaula, AL 36027 | 2018-07-02 |
| 1528188406 | John Thomas Hagood | Dentist | 237 West Barbour Street, Eufaula, AL 36027 | 2007-04-02 |
| 1194896811 | Allen D Finlayson | Pharmacist | 1037 S. Eufaula Ave., Eufaula, AL 36027 | 2006-11-13 |
| 1306856588 | William E Richardson Jr. | Dentist | 150 N Orange Ave, Eufaula, AL 36027 | 2006-08-09 |
| 1013938307 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1055 S Eufaula Ave, Eufaula, AL 36027 | 2006-07-21 |
| 1114951563 | Jeff W Bush | Family Medicine | 617 East Broad Street, Ste A, Eufaula, AL 36027 | 2006-07-10 |
| 1023216801 | Eufaula Family Medicine | Family Medicine | 617 E Broad St, B, Eufaula, AL 36027 | 2007-07-03 |
| 1689215386 | Rico Bobbins | Contractor | 109 New Fort Browder Rd, Eufaula, AL 36027-1027 | 2019-10-03 |
| 1699971275 | Eufaula City | Local Education Agency (LEA) | 420 Sanford Ave, Eufaula, AL 36027-1450 | 2007-06-21 |
| 1235748898 | Danielle Tyson | Registered Nurse | 228 Highland Ave, Eufaula, AL 36027-1528 | 2020-07-29 |
| Find all providers in zip 36027 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857122 | April Poe | Nurse Practitioner | 130 N Randolph Ave Ste B, Eufaula, AL 36027-1631 | 2019-02-12 |
| 1699260471 | Amy Brown | Nurse Practitioner | 111 W Forrest Ave Ste A, Eufaula, OK 74432-3205 | 2018-06-25 |
| 1629697214 | Meagan Jenkins | Nurse Practitioner | 218 N Main St, Eufaula, OK 74432-1633 | 2020-04-13 |
| 1649737073 | Lisa Gray | Nurse Practitioner | 111 W Forrest Ave Ste A, Eufaula, OK 74432-3205 | 2019-02-21 |
| 1932679875 | Emma Middleton | Nurse Practitioner | 1026 S Eufaula Ave, Eufaula, AL 36027-2702 | 2018-12-04 |
| 1700365442 | Kelli Landrum | Nurse Practitioner | 820 W Washington St, Eufaula, AL 36027-1822 | 2018-08-13 |
| 1649763640 | Brittany Lingo Walker | Nurse Practitioner | 323 E Barbour St, Eufaula, AL 36027-1603 | 2018-06-13 |
| 1558874495 | The Health Care Authority of The City of Eufaula | Nurse Practitioner | 617 E Broad St, Eufaula, AL 36027-1710 | 2017-11-14 |
| 1427561976 | Victoria Brooke Darts | Nurse Practitioner | 23 Veterans Blvd, Eufaula, AL 36027-4444 | 2017-11-07 |
| 1710497441 | Sheryl Wesley Angel | Nurse Practitioner | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2017-10-08 |
| Find all providers in EUFAULA | ||||
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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.