Covered Entity Details

SCH010069-03 The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour (Terminated) - information as of 5/4/2025 10:21:21 PM

Main Details

Name

The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour

Subdivision Name

LAKE EUFAULA PRIMARY CARE - Rural Health Clinic

Type

Sole Community Hospital

Rural

Yes

340B ID

SCH010069-03

Medicare Provider Number

010069

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

4/10/2020

Participating Start Date

6/3/2020

Participating Approval Date

5/20/2020

Last Recertification Date

8/25/2020

Termination Date
Termination Reason

10/1/2021
Site closure

Contacts

Authorizing Official

Medical Center Barbour
Lynn Mergen, CEO
(334) 688-7276

Primary Contact

Medical Center Barbour
Sonya Bedsole, Controller
(334) 688-7132

Addresses

Street Address

130B N RANDOLPH AVE
EUFAULA, AL 36027-1631

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
SCH010069-01	Child	SCH	The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour	Southeast Alabama Regional Health Care Authority d/b/a Louisville Family Medical Clinic	31 Railroad St.	Louisville	AL	Terminated
SCH010069-02	Child	SCH	The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour	MCB Family Care Clinic	825 W. Washington St.	Eufaula	AL	Terminated
SCH010069-03	Child	SCH	The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour	LAKE EUFAULA PRIMARY CARE - Rural Health Clinic	130B N RANDOLPH AVE	EUFAULA	AL	Terminated
SCH010069-04	Child	SCH	The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour	THE HEALTH CARE AUTHORITY OF THE CI - Rural Health Clinic	31 RAILROAD ST	LOUISVILLE	AL	Terminated
SCH010069-05	Child	SCH	The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour	HURTSBORO FAMILY CLINIC - Rural Health Clinic	512 MAIN STREET	HURTSBORO	AL	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Profile Change Request	Bedsole, Sonya Accounting Director Medical Center Barbour 3346887132	Bedsole, Sonya Controller Medical Center Barbour 3346887132	4/19/2023 2:24 PM
Details	State	Update		To Be Terminated	Terminated	10/1/2021 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		8/16/2021 12:00:00 AM	9/15/2021 8:27 AM
Details	State	Update	Recertification	Active	To Be Terminated	9/15/2021 8:27 AM
Terminations	Termination Date	Update	Recertification		10/1/2021 12:00:00 AM	9/15/2021 8:27 AM
Terminations	Termination Effective Date	Update	Recertification		8/16/2021 12:00:00 AM	9/15/2021 8:27 AM
Terminations	Termination Reason	Update	Recertification		Site closure	9/15/2021 8:27 AM
Contacts	Authorizing Official	Update	Change Request	Reynolds, Mike CFO Medical Center Barbour 3346887274	Mergen, Lynn CEO Medical Center Barbour 3346887276	9/8/2021 7:27 AM
Contacts	Authorizing Official	Update	Change Request	Bowling, David Regional CFO Alliant Management Systems 8594333504	Reynolds, Mike CFO Medical Center Barbour 3346887274	9/9/2020 9:16 AM
Details	Last Recertification Date	Update	Recertification		8/25/2020 8:07:05 AM	8/25/2020 8:07 AM
Details	State	Update	OPA Edit	Approved	Active	6/3/2020 12:33 PM
Dates	Start Date	Update	OPA Edit	7/1/2020 12:00:00 AM	6/3/2020 12:00:00 AM	6/3/2020 12:33 PM
Contacts	Signed By	Insert	New Registration		Bowling, David Regional CFO Alliant Management Systems 8594333504	5/20/2020 2:04 PM
Details	340B ID	Update	New Registration		SCH010069-03	5/20/2020 2:04 PM
Details	Entity Name	Update	New Registration	MEDICAL CENTER BARBOUR	The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour	5/20/2020 2:04 PM
Details	Entity Subname	Update	New Registration	LAKE EUFAULA PRIMARY CARE	LAKE EUFAULA PRIMARY CARE - Rural Health Clinic	5/20/2020 2:04 PM
Dates	Participating Approval Date	Update	New Registration		5/20/2020 2:04:33 PM	5/20/2020 2:04 PM
Details	State	Update	New Registration	Pending	Approved	5/20/2020 2:04 PM
Dates	Signed By Date	Update	New Registration		5/7/2020 11:51:38 AM	5/20/2020 2:04 PM
Dates	Start Date	Update	New Registration		7/1/2020 12:00:00 AM	5/20/2020 2:04 PM
Addresses	Main Address	Insert	New Registration		130B N RANDOLPH AVE EUFAULA, AL 36027-1631	4/10/2020 2:12 PM
Contacts	Primary Contact	Insert	New Registration		Bedsole, Sonya Accounting Director Medical Center Barbour 3346887132	4/10/2020 2:12 PM
Contacts	Authorizing Official	Insert	New Registration		Bowling, David Regional CFO Alliant Management Systems 8594333504	4/10/2020 2:12 PM
Details	Last Recertification Date	Insert	New Registration			4/10/2020 2:12 PM
Details	Grant Number	Insert	New Registration			4/10/2020 2:12 PM
Details	340B ID	Insert	New Registration			4/10/2020 2:12 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/10/2020 2:12 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/10/2020 2:12 PM
Details	Medicare Provider Number	Insert	New Registration		010069	4/10/2020 2:12 PM
Details	Entity Name	Insert	New Registration		MEDICAL CENTER BARBOUR	4/10/2020 2:12 PM
Details	Program Code	Insert	New Registration		SCH	4/10/2020 2:12 PM
Details	Entity Subname	Insert	New Registration		LAKE EUFAULA PRIMARY CARE	4/10/2020 2:12 PM
Dates	Participating Approval Date	Insert	New Registration			4/10/2020 2:12 PM
Details	State	Insert	New Registration		Pending	4/10/2020 2:12 PM
Dates	Registration Date	Insert	New Registration		4/10/2020 2:12:06 PM	4/10/2020 2:12 PM
Dates	Signed By Date	Insert	New Registration			4/10/2020 2:12 PM
Dates	Start Date	Insert	New Registration			4/10/2020 2:12 PM
Terminations	Termination Comments	Insert	New Registration			4/10/2020 2:12 PM
Terminations	Termination Date	Insert	New Registration			4/10/2020 2:12 PM
Terminations	Termination Effective Date	Insert	New Registration			4/10/2020 2:12 PM
Terminations	Termination Reason	Insert	New Registration			4/10/2020 2:12 PM