Healthcare Provider Details

I. General information

NPI: 1033038088
Provider Name (Legal Business Name): BULLOCK COUNTY HEALTH CARE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 CONECUH AVE W
UNION SPRINGS AL
36089-1303
US

IV. Provider business mailing address

102 CONECUH AVE W
UNION SPRINGS AL
36089-1303
US

V. Phone/Fax

Practice location:
  • Phone: 334-738-2140
  • Fax:
Mailing address:
  • Phone: 334-738-2140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL A PRICE JR.
Title or Position: CFO
Credential:
Phone: 334-528-1310