State of Alabama Department of Public Health
Organization Active NPI Public Health or Welfare Agency · Evergreen, AL
NPI 1710012828 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1710012828
- 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
- 526 Belleville St
Evergreen, AL 36401-3005 - Phone
- (251) 578-1952
- 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
526 Belleville St
Evergreen, AL 36401-3005
Mailing address
201 Monroe St Ste 1000
Montgomery, AL 36104-3735
Other names
- CONECUH COUNTY HEALTH DEPT FLU-PNEU
Other providers in Evergreen, AL
- Southwest Alabama Mental Health
- Star of Life Systems, Inc.
- State of Alabama
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- Statewide Healthcare Services, LLC
- Stephen M West MD LLC
- Tri County Medical Center Inc
- Joshua C. Walsh
- Ausha Weathers-Yates
All providers in Evergreen, 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 20, 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.