Healthcare Provider Details

I. General information

NPI: 1013482355
Provider Name (Legal Business Name): ALABAMA DEPT OF PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HEALTH CENTER DR
CLANTON AL
35045-2349
US

IV. Provider business mailing address

201 MONROE STREET RSA TOWER, SUITE 1200
MONTGOMERY AL
36104
US

V. Phone/Fax

Practice location:
  • Phone: 205-755-1287
  • Fax: 205-755-2027
Mailing address:
  • Phone: 334-206-5677
  • Fax: 334-206-5985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS MILLER
Title or Position: STATE HEALTH OFFICER
Credential: MD
Phone: 334-206-5200