Tallapoosa County Health Dept-Alex City Epsdt CM
Organization Active NPI Case Management Agency · Alexander City, AL
NPI 1669515342 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1669515342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- TALLAPOOSA COUNTY HEALTH DEPT-ALEX CITY EPSDT CM
- Practice address
- 2078 Sportplex Blvd
Alexander City, AL 35010-4472 - Phone
- (256) 329-0531
- NPI assigned
- Feb 14, 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
National Provider Directory
- Tax ID family
- St Clair County Health Dept-Ashville AIDS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes | ||
| Public Health or Welfare Agency | 251K00000X |
Addresses
Primary practice location
2078 Sportplex Blvd
Alexander City, AL 35010-4472
Mailing address
2078 Sportplex Blvd
Alexander City, AL 35010-4472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 486200888 | Medicaid | AL |
Other providers in Alexander City, AL
- Tallapoosa County Health Dept Offsite Epsdt
- Tallapoosa County Health Dept-Alex City Adult Immun
- Tallapoosa County Health Dept-Alex City AIDS
- Tallapoosa County Health Dept-Alex City Child
- Tallapoosa County Health Dept-Alex City Epsdt
- Tallapoosa County Health Dept-Alex City FP Clinic
- Tallapoosa County Health Dept-Alex City FP CM
- Tallapoosa County Health Dept-Alex City Mat
- Tallapoosa County Health Dept-Alex City Mat CM
- Tallapoosa County Health Dept-Alex City Pat 1St CM
All providers in Alexander City, AL · Case Management 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 19, 2024. 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.