NPIMap

Organization Active NPI

Escambia County Health Dept-Atmore Adult Immun

  • Public Health or Welfare Agency
  • Atmore, AL
National Provider Identifier
1124161807
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
ESCAMBIA COUNTY HEALTH DEPT-ATMORE ADULT IMMUN
Practice address
8600 Highway 31 Ste 17
Atmore, AL 36502-2686
Phone
(251) 368-9188
NPI assigned
Feb 14, 2007
Organization subpart
No

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

Specialties & licenses 1

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

Addresses

Primary practice location

8600 Highway 31 Ste 17
Atmore, AL 36502-2686

Mailing address

8600 Highway 31 Ste 17
Atmore, AL 36502-2686

Other identifiers 1

IdentifierTypeStateIssuer
702717777MedicaidAL

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 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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1124161807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 HIGHWAY 31 STE 17",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 HIGHWAY 31 STE 17",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022686",
            "telephone_number": "251-368-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COUNTY HEALTH DEPT-ATMORE ADULT IMMUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "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": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702717777",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, 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.