Coffee County Health Dept-Enterprise Pat 1St CM

Organization Active NPI Case Management Agency · Enterprise, AL

NPI 1659414779 · NPPES record last updated Sep 19, 2024

Key facts

NPI
1659414779
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
COFFEE COUNTY HEALTH DEPT-ENTERPRISE PAT 1ST CM
Practice address
2841 Neal Metcalf Rd
Enterprise, AL 36330-8003
Phone
(334) 347-9574
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

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

2841 Neil Metcalf Rd
Enterprise, AL 36330
Phone (334) 347-9574

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

2841 Neal Metcalf Rd
Enterprise, AL 36330-8003

Mailing address

2841 Neal Metcalf Rd
Enterprise, AL 36330-8003

Other identifiers

IdentifierTypeStateIssuer
590140020MedicaidAL

Other providers in Enterprise, AL

All providers in Enterprise, AL · Case Management Agency in Alabama

Sources for this page

Verify at the official NPI Registry.