Clarke County Health Dept Adult Immun
Organization Active NPI Public Health or Welfare Agency · Grove Hill, AL
NPI 1154464634 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1154464634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- CLARKE COUNTY HEALTH DEPT ADULT IMMUN
- Practice address
- 140 Clark St
Grove Hill, AL 36451-3044 - Phone
- (251) 275-3772
- 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
National Provider Directory
- Tax ID family
- St Clair County Health Dept-Ashville AIDS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
140 Clark St
Grove Hill, AL 36451-3044
Mailing address
PO Box 477
Grove Hill, AL 36451-0477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 701307777 | Medicaid | AL |
Other providers in Grove Hill, AL
- Dewey Rex Chalk
- Jonathan Chaney
- City Drugs of Grove Hill, Inc.
- City Drugs of Grove Hill, Inc.
- Clarke County
- Clarke County Health Dept AIDS
- Clarke County Health Dept Child
- Clarke County Health Dept Epsdt
- Clarke County Health Dept Epsdt CM
- Clarke County Health Dept FP Clinic
All providers in Grove Hill, AL · Public Health or Welfare Agency in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.