Coosa County Health Dept-Rockford Adult Immun

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

NPI 1265575682 · NPPES record last updated Sep 17, 2024

Key facts

NPI
1265575682
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
COOSA COUNTY HEALTH DEPT-ROCKFORD ADULT IMMUN
Practice address
Main Street
Rockford, AL 35136
Phone
(256) 377-4364
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

Main Street
Rockford, AL 35136

Mailing address

PO Box 219
Rockford, AL 35136-0219

Other identifiers

IdentifierTypeStateIssuer
701907777MedicaidAL

Other providers in Rockford, AL

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

Sources for this page

Verify at the official NPI Registry.