Healthcare Provider Details

I. General information

NPI: 1710020169
Provider Name (Legal Business Name): LAMAR COUNTY HEALTH DEPT EPSDT CM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SPRINGFIELD RD
VERNON AL
35592-4648
US

IV. Provider business mailing address

PO BOX 548
VERNON AL
35592-0548
US

V. Phone/Fax

Practice location:
  • Phone: 205-695-9195
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: APRIL L GOLSON
Title or Position: DIRECTOR OF BILLING, COMPLIANCE, &
Credential:
Phone: 334-206-9344