Jefferson County Home Care Epsdt CC - Adph

Organization Active NPI Public Health or Welfare Agency · Montgomery, AL

NPI 1164565362 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1164565362
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
JEFFERSON COUNTY HOME CARE EPSDT CC - ADPH
Practice address
201 Monroe St Ste 1200
Montgomery, AL 36130-3017
Phone
(334) 206-5712
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
Public Health or Welfare Agency 251K00000X Yes

Addresses

Primary practice location

201 Monroe St Ste 1200
Montgomery, AL 36130-3017

Mailing address

201 Monroe St Ste 1200
Montgomery, AL 36130-3017

Other identifiers

IdentifierTypeStateIssuer
489900888MedicaidAL

Other providers in Montgomery, AL

All providers in Montgomery, AL · Public Health or Welfare Agency in Alabama

Sources for this page

Verify at the official NPI Registry.