State of Alabama Department of Public Health

Organization Active NPI Public Health or Welfare Agency · Geneva, AL

NPI 1043345150 · NPPES record last updated Sep 13, 2024

Key facts

NPI
1043345150
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Practice address
606 S Academy St
Geneva, AL 36340-2527
Phone
(334) 684-2259
NPI assigned
Feb 22, 2007
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040507000161 AL Part B Supplier - Public Health/Welfare Agency 8022007970 This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
St Clair County Health Dept-Ashville AIDS (1,340 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Yes

Addresses

Primary practice location

606 S Academy St
Geneva, AL 36340-2527

Mailing address

201 Monroe St Ste 1000
Montgomery, AL 36104-3735

Other names

  • GENEVA COUNTY HEALTH DEPT FLU-PNEU Doing business as

Other providers in Geneva, AL

All providers in Geneva, AL · Public Health or Welfare Agency in Alabama

Sources for this page

Verify at the official NPI Registry.