Cullman County Health Dept Epsdt CM
Organization Active NPI Case Management Agency · Cullman, AL
NPI 1295879047 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1295879047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- CULLMAN COUNTY HEALTH DEPT EPSDT CM
- Practice address
- 601 Logan Ave SW
Cullman, AL 35055-4520 - Phone
- (256) 734-1030
- NPI assigned
- Feb 16, 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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes | ||
| Public Health or Welfare Agency | 251K00000X |
Addresses
Primary practice location
601 Logan Ave SW
Cullman, AL 35055-4520
Mailing address
PO Box 1678
Cullman, AL 35056-1678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 482200888 | Medicaid | AL |
Other providers in Cullman, AL
- Cullman County Center for the Developmentally Disabled, Inc.
- Cullman County Health Dept Adult Immun
- Cullman County Health Dept AIDS
- Cullman County Health Dept Child
- Cullman County Health Dept Epsdt
- Cullman County Health Dept FP Clinic
- Cullman County Health Dept FP CM
- Cullman County Health Dept Mat
- Cullman County Health Dept Mat CM
- Cullman County Health Dept Offsite Epsdt
All providers in Cullman, AL · Case Management 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 17, 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.