Walker County Health Dept Offsite Epsdt

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

NPI 1487798211 · NPPES record last updated Sep 18, 2024

Key facts

NPI
1487798211
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
WALKER COUNTY HEALTH DEPT OFFSITE EPSDT
Practice address
705 20TH Ave E
Jasper, AL 35501-4071
Phone
(205) 221-9775
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

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

705 20TH Ave E
Jasper, AL 35501-4071

Mailing address

PO Box 3207
Jasper, AL 35502-3207

Other identifiers

IdentifierTypeStateIssuer
235806400MedicaidAL

Other providers in Jasper, AL

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

Sources for this page

Verify at the official NPI Registry.