Healthcare Provider Details

I. General information

NPI: 1720509029
Provider Name (Legal Business Name): BLOUNT COUNTY HEALTH DEPT STD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LINCOLN AVE
ONEONTA AL
35121-2533
US

IV. Provider business mailing address

1001 LINCOLN AVE
ONEONTA AL
35121-2533
US

V. Phone/Fax

Practice location:
  • Phone: 205-274-2120
  • Fax: 205-274-2120
Mailing address:
  • Phone: 205-274-2120
  • Fax: 205-274-2210

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