Healthcare Provider Details

I. General information

NPI: 1942460456
Provider Name (Legal Business Name): ALABAMA DEPARTMENT OF PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MONROE ST SUITE 800
MONTGOMERY AL
36104-3735
US

IV. Provider business mailing address

201 MONROE ST SUITE 800
MONTGOMERY AL
36104-3735
US

V. Phone/Fax

Practice location:
  • Phone: 334-206-5061
  • Fax:
Mailing address:
  • Phone: 334-206-5061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number01D0641691
License Number StateAL

VIII. Authorized Official

Name: MRS. REGINA PATTERSON
Title or Position: DIR HEALTH SERVICES CSC
Credential:
Phone: 334-206-5061