Healthcare Provider Details

I. General information

NPI: 1346187952
Provider Name (Legal Business Name): BULLOCK COUNTY HEALTH CARE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 CONECUH AVE W
UNION SPRINGS AL
36089-1303
US

IV. Provider business mailing address

PO BOX 512
UNION SPRINGS AL
36089-0512
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL PRICE JR.
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 334-528-1310