Greene County Health Dept Epsdt CM
Organization Active NPI Case Management Agency · Eutaw, AL
NPI 1700920501 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1700920501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- GREENE COUNTY HEALTH DEPT EPSDT CM
- Practice address
- 412 Morrow Avenue
Eutaw, AL 35462-1109 - Phone
- (205) 372-9361
- 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
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
412 Morrow Avenue
Eutaw, AL 35462-1109
Mailing address
PO Box 269
Eutaw, AL 35462-0269
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 483200888 | Medicaid | AL |
Other providers in Eutaw, AL
- Greene County Eye Clinic, LLC
- Greene County Health Dept Adult Immun
- Greene County Health Dept AIDS
- Greene County Health Dept Child
- Greene County Health Dept Epsdt
- Greene County Health Dept FP Clinic
- Greene County Health Dept FP CM
- Greene County Health Dept Mat
- Greene County Health Dept Mat CM
- Greene County Health Dept Offsite Epsdt
All providers in Eutaw, 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 20, 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.