NPIMap

Organization Active NPI

Conecuh County Health Dept STD

  • Public Health or Welfare Agency
  • Evergreen, AL
National Provider Identifier
1114447604
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CONECUH COUNTY HEALTH DEPT STD
Practice address
102 Wild Ave
Evergreen, AL 36401-2134
Phone
(251) 578-1952
Fax
(251) 578-5566
NPI assigned
Jun 26, 2017
Organization subpart
Yes
Parent organization
ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Ms. Arnita Shepherd, MSW
Title
Cbu Director
Phone
(334) 206-7065

Specialties & licenses 1

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

Addresses

Primary practice location

102 Wild Ave
Evergreen, AL 36401-2134

Mailing address

201 Monroe Street Suite 1600
Rsa Tower - Centralized Billing Unit
Montgomery, AL 36104-3721
Phone (334) 206-7065

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
Part of
St Clair County Health Dept-Ashville AIDS

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1114447604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE STREET SUITE 1600",
            "address_2": "RSA TOWER - CENTRALIZED BILLING UNIT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043721",
            "telephone_number": "334-206-7065",
            "fax_number": "334-206-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WILD AVE",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364012134",
            "telephone_number": "251-578-1952",
            "fax_number": "251-578-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONECUH COUNTY HEALTH DEPT STD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "ARNITA",
        "authorized_official_title_or_position": "CBU DIRECTOR",
        "authorized_official_telephone_number": "334-206-7065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.