State of Alabama Department of Public Health
Organization Active NPI Public Health or Welfare Agency · Chatom, AL
NPI 1508991605 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1508991605
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
- Practice address
- 2024 Granade Avenue
Chatom, AL 36518 - Phone
- (251) 847-2245
- NPI assigned
- Feb 22, 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040507000161 | AL | Part B Supplier - Public Health/Welfare Agency | 8022007970 | This NPI is an additional NPI on the enrollment |
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
2024 Granade Avenue
Chatom, AL 36518
Mailing address
201 Monroe St Ste 1000
Montgomery, AL 36104-3735
Other names
- WASHINGTON COUNTY HEALTH DEPT FLU-PNEU
Other providers in Chatom, AL
- Katelyn Victoria Singley
- Perry Dale Smith II
- State of Alabama
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- Carli Taylor
- Tender Loving Care Homecare LLC
- The Arc of Southwest Alabama
- Deshena D. Thomas
All providers in Chatom, 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 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.