Healthcare Provider Details

I. General information

NPI: 1598790941
Provider Name (Legal Business Name): SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 W WASHINGTON ST
EUFAULA AL
36027-1855
US

IV. Provider business mailing address

820 W WASHINGTON ST
EUFAULA AL
36027-1855
US

V. Phone/Fax

Practice location:
  • Phone: 334-688-7000
  • Fax: 334-688-7127
Mailing address:
  • Phone: 334-688-7000
  • Fax: 334-688-7127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: TERRI PARSONS
Title or Position: CFO
Credential:
Phone: 334-688-7272