NPIMap

Organization Active NPI

Marengo County Health Dept Pat 1St CM

  • Case Management Agency
  • Linden, AL
National Provider Identifier
1003950007
Registry record updated Sep 13, 2024
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Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MARENGO COUNTY HEALTH DEPT PAT 1ST CM
Practice address
303 Industrial Dr
Linden, AL 36748-2002
Phone
(334) 295-4205
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Regina L Patterson
Title
Director of Health Systems
Phone
(334) 206-5061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

303 Industrial Dr
Linden, AL 36748-2002

Mailing address

PO Box 480877
Linden, AL 36748-0877

Other identifiers 1

IdentifierTypeStateIssuer
590140053MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
St Clair County Health Dept-Ashville AIDS1,340 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1003950007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480877",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "367480877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 INDUSTRIAL DR",
            "city": "LINDEN",
            "state": "AL",
            "postal_code": "367482002",
            "telephone_number": "334-295-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARENGO COUNTY HEALTH DEPT PAT 1ST CM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SYSTEMS",
        "authorized_official_telephone_number": "334-206-5061"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590140053",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.