State of Alabama Department of Public Health
Organization Active NPI Public Health or Welfare Agency · Montgomery, AL
NPI 1154572840 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1154572840
- 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
- 201 Monroe Street
Suite 1080
Montgomery, AL 36104 - Phone
- (334) 206-5061
- NPI assigned
- Oct 1, 2008
- Organization subpart
- No
Authorized official
- Name
- Regina Patterson
- Title
- Director
- Phone
- (334) 206-5061
Corporate family (same tax ID) 24
Practitioners 7
-
Cravens Gibbs, C.R.N.P.
-
Deah Rebecca Huff, W.H.N.P.
-
Pamela Kay Moody, PHD, DNP, APRN-BC
-
Patsy Watson, CRNP
-
Debra M Williams, MD
-
Melanie Ashleigh Eubanks, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
201 Monroe St
Ste 1080
Montgomery, AL 36104
Phone (334) 206-5061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
201 Monroe Street
Suite 1080
Montgomery, AL 36104
Mailing address
201 Monroe Street
P.O.Box 303017, Suite 1080
Montgomery, AL 36130-3017
Phone (334) 206-5061
Other names
- ADPH Statewide Provider
Other providers in Montgomery, AL
- State of Alabama
- State of Alabama
- State of Alabama Department of Finance
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
All providers in Montgomery, 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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.