Organization
HEALTHCARE AUTHORITY OF ELBA
Active
Parent organization
HEALTHCARE AUTHORITY OF ELBA
Other names
Jason D. Tucker, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHCARE AUTHORITY OF ELBA
Authorized official
MS. ELLEN C BRILEY RN (CHIEF EXECUTIVE OFFICER)
(334) 897-2257
Entity
Organization
Contact information
Practice address
980 DRAYTON AVE, ELBA, AL 36323-1404
(334) 897-3800
(334) 897-3804
Mailing address
980 DRAYTON AVE, ELBA, AL 36323-1404
(334) 897-3800
(334) 897-3804
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M030769
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91689839813
INDIVIDUAL NPI
—
01
—
M030769
STATE MEDICAL LICENSE NUMBER
AL
Enumeration date
03/03/2011
Last updated
03/03/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us