State of Alabama Department of Public Health
Organization Active NPI Home Health Agency · Roanoke, AL
NPI 1417023987 · NPPES record last updated Jul 30, 2007
Key facts
- NPI
- 1417023987
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
- Practice address
- 320 Main Street
Roanoke, AL 36274 - Phone
- (334) 863-8983
- Fax
- (334) 863-4871
- NPI assigned
- Nov 28, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
- Name
- Grover T Wedgeworth
- Title
- State Home Care Director
- Phone
- (334) 206-5341
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- St Clair County Health Dept-Ashville AIDS
- Part of
- St Clair County Health Dept-Ashville AIDS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
320 Main Street
Roanoke, AL 36274
Mailing address
201 Monroe St
The Rsa Tower, Suite 1200
Montgomery, AL 36104-3735
Phone (334) 206-5341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RAN9956A | Other | AL | BIOMONITORING PROVIDER # |
Other names
- Randolph County Home Care
Other providers in Roanoke, AL
- Michael Robinson
- Helen Scharko
- Dalton Screws
- Mitchell Carey Shirah
- Jagroop Singh
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- Scott Suggs
- Tanner Primary Care of Roanoke Inc
All providers in Roanoke, AL · Home Health 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 Jul 30, 2007. 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.