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SCH010069-01 The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour (Terminated)
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Main Details
Name
The Health Care Authority of the City of Eufaula d/b/a Medical Center Barbour
Subdivision Name
Southeast Alabama Regional Health Care Authority d/b/a Louisville Family Medical Clinic
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH010069-01
Medicare Provider Number
010069
Outpatient Facility Provider Number
013448
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2013
Participating Start Date
10/1/2013
Participating Approval Date
8/19/2013
Last Recertification Date
8/28/2018
Termination Date
Termination Reason
10/10/2019
Failure to recertify
Contacts
Authorizing Official
Alliant Management Systems
David Bowling, Regional CFO
(859) 433-3504
Primary Contact
Medical Center Barbour
Sonya Bedsole, Controller
(334) 688-7132
Addresses
Street Address
31 Railroad St.
Louisville, AL 36048
Billing Address
SEARHCA d/b/a Medical Center Barbour
820 W. Washington St.
Eufaula, AL 36027
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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