MEDICARE: THE EAST ALABAMA HEALTH CARE AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1932662434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EAST ALABAMA HEALTH CARE AUTHORITY

Provider Business Mailing Address
First Line	:	2501 VILLAGE PROFESSIONAL DR STE 2031
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-2381
Country	:	US
Telephone Number	:	334-528-8434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 VILLAGE PROFESSIONAL DR STE 2031
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-2381
Country	:	US
Telephone Number	:	334-528-8434
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	SAMUEL A PRICE JR.
Credential	:
Telephone Number	:	334-528-1310

Provider Enumeration Date	:	04/11/2019
Last Update Date	:	07/16/2024

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Directions to “THE EAST ALABAMA HEALTH CARE AUTHORITY ” Practice Location

Language	Start Address	Practice Location

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