Russell County Health Dept Mat CM

Organization Active NPI Case Management Agency · Phenix City, AL

NPI 1154464204 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1154464204
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
RUSSELL COUNTY HEALTH DEPT MAT CM
Practice address
1850 Crawford Rd
Phenix City, AL 36867-4222
Phone
(334) 297-0251
NPI assigned
Feb 15, 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.

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
Case Management Agency 251B00000X Yes
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

1850 Crawford Rd
Phenix City, AL 36867-4222

Mailing address

PO Box 548
Phenix City, AL 36868-0548

Other identifiers

IdentifierTypeStateIssuer
590120072MedicaidAL

Other providers in Phenix City, AL

All providers in Phenix City, AL · Case Management Agency in Alabama

Sources for this page

Verify at the official NPI Registry.