MEDICARE: LOWNDES COUNTY HEALTH DEPT STD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1043730476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWNDES COUNTY HEALTH DEPT STD

Provider Business Mailing Address
First Line	:	201 MONROE STREET SUITE 1600
Second Line	:	RSA TOWER - CENTRALIZED BILLING UNIT
City	:	MONTGOMERY
State	:	AL
Zip	:	36104-3721
Country	:	US
Telephone Number	:	334-206-7065
Fax Number	:	334-206-3998

Provider Business Practice Location Address
First Line	:	507 E TUSKEENA ST
Second Line	:
City	:	HAYNEVILLE
State	:	AL
Zip	:	36040-2666
Country	:	US
Telephone Number	:	334-548-2564
Fax Number	:	334-548-2566

Authorized Official
Title or Position	:	CBU DIRECTOR
Name	:	MS. ARNITA SHEPHERD
Credential	:	MSW
Telephone Number	:	334-206-7065

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	09/13/2024

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