Healthcare Provider Details

I. General information

NPI: 1902327299
Provider Name (Legal Business Name): BIBB COUNTY HEALTH DEPT STD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 ALEXANDER AVE
CENTREVILLE AL
35042-2953
US

IV. Provider business mailing address

281 ALEXANDER AVE
CENTREVILLE AL
35042-2953
US

V. Phone/Fax

Practice location:
  • Phone: 205-926-9702
  • Fax: 205-926-6536
Mailing address:
  • Phone: 205-926-9702
  • Fax: 205-926-6536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ARNITA SHEPHERD
Title or Position: CBU DIRECTOR
Credential: MSW
Phone: 334-206-7065