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SCH010069-03 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
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
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