Autauga County Health Dept VFC Immun

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

NPI 1497899470 · NPPES record last updated Sep 18, 2024

Key facts

NPI
1497899470
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
AUTAUGA COUNTY HEALTH DEPT VFC IMMUN
Practice address
219 N Court St
Prattville, AL 36067-3003
Phone
(334) 361-3743
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)

Locations

219 N Court St
Prattville, AL 36067
Phone (334) 361-3743

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Yes

Addresses

Primary practice location

219 N Court St
Prattville, AL 36067-3003

Mailing address

219 N Court St
Prattville, AL 36067-3003

Other identifiers

IdentifierTypeStateIssuer
480109999MedicaidAL

Other providers in Prattville, AL

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

Sources for this page

Verify at the official NPI Registry.