Choctaw County Health Dept Offsite Epsdt
Organization Active NPI Public Health or Welfare Agency · Butler, AL
NPI 1164565487 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1164565487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- CHOCTAW COUNTY HEALTH DEPT OFFSITE EPSDT
- Practice address
- 1001 S Mulberry Ave
Butler, AL 36904-2813 - Phone
- (205) 459-4026
- 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
1001 S Mulberry Ave
Butler, AL 36904-2813
Mailing address
1001 S Mulberry Ave
Butler, AL 36904-2813
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235801200 | Medicaid | AL |
Other providers in Butler, AL
- Choctaw County Health Dept Epsdt CM
- Choctaw County Health Dept FP Clinic
- Choctaw County Health Dept FP CM
- Choctaw County Health Dept Mat
- Choctaw County Health Dept Mat CM
- Choctaw County Health Dept Pat 1St CM
- Choctaw County Health Dept Prev Health Ed
- Choctaw County Health Dept Pri Care
- Choctaw County Health Dept STD
- Choctaw County Health Dept VFC Immun
All providers in Butler, 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.