Jackson County Health Dept Adult Immun
Organization Active NPI Public Health or Welfare Agency · Scottsboro, AL
NPI 1326181702 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1326181702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- JACKSON COUNTY HEALTH DEPT ADULT IMMUN
- Practice address
- 204 Liberty LN
Scottsboro, AL 35769-4133 - Phone
- (256) 259-4161
- 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
204 Liberty LN
Scottsboro, AL 35769-4133
Mailing address
PO Box 398
Scottsboro, AL 35768-0398
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 703607777 | Medicaid | AL |
Other providers in Scottsboro, AL
- Bethany Lynn Ivey
- Jackson County Board of Education
- Jackson County Family Care Clinic
- Jackson County Family Medicine LLC
- Jackson County Health Care Authority
- Jackson County Health Dept AIDS
- Jackson County Health Dept Child
- Jackson County Health Dept Epsdt
- Jackson County Health Dept Epsdt CM
- Jackson County Health Dept FP Clinic
All providers in Scottsboro, 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 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.