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NPI Code Detail

MEDICARE: TUSCALOOSA COUNTY HEALTH DEPT STD

MEDICARE: TUSCALOOSA 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
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1063932325
Entity Type Code : Organization
Provider Name (Legal Business Name) : TUSCALOOSA 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 : 2350 HARGROVE RD E
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-2612
Country : US
Telephone Number : 205-554-4500
Fax Number : 205-556-2701
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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Directions to “TUSCALOOSA COUNTY HEALTH DEPT STD ” Practice Location

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