Healthcare Provider Details

I. General information

NPI: 1922133024
Provider Name (Legal Business Name): STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
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 ST STE 1000
MONTGOMERY AL
36104-3735
US

V. Phone/Fax

Practice location:
  • Phone: 205-755-1287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: REGINA L PATTERSON
Title or Position: DIRECTOR OF HEALTH SYSTEMS
Credential:
Phone: 334-206-5061