State of Alabama Department of Public Health
Organization Active NPI Home Health Agency · Fort Payne, AL
NPI 1164501946 · NPPES record last updated Jul 27, 2007
Key facts
- NPI
- 1164501946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
- Practice address
- 2401 Calvin Drive, SW
Suite 200
Fort Payne, AL 36967 - Phone
- (256) 845-8680
- Fax
- (256) 845-0331
- NPI assigned
- Nov 3, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
- Name
- Grover T Wedgeworth
- Title
- State Home Care Director
- Phone
- (334) 206-5341
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- St Clair County Health Dept-Ashville AIDS
- Part of
- St Clair County Health Dept-Ashville AIDS
Locations
2401 Calvin Dr SW
#200
Fort Payne, AL 35967
Phone (256) 845-8680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2401 Calvin Drive, SW
Suite 200
Fort Payne, AL 36967
Mailing address
201 Monroe St
The Rsa Tower, Suite 1200
Montgomery, AL 36104-3735
Phone (334) 206-5341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEK9925A | Other | AL | BIOMONITORING PROVIDER # |
Other names
- Dekalb County Home Care
Other providers in Fort Payne, AL
- Lindsay E Slater
- Vernie Slaton
- Southeast Cancer Network, Inc
- Southeastern Psychiatric Management, Inc
- State of Alabama
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- Justin Sayam Steinman
- Margaret Stephens
All providers in Fort Payne, AL · Home Health 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 Jul 27, 2007. 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.