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NPI Code Detail

MEDICARE: CHILTON COUNTY HEALTH DEPT EPSDT

MEDICARE: CHILTON COUNTY HEALTH DEPT EPSDT
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326181793
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILTON COUNTY HEALTH DEPT EPSDT
Provider Business Mailing Address
First Line : 301 HEALTH CENTER DR
Second Line :
City : CLANTON
State : AL
Zip : 35045-2349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 HEALTH CENTER DR
Second Line :
City : CLANTON
State : AL
Zip : 35045-2349
Country : US
Telephone Number : 205-755-1287
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF HEALTH SYSTEMS
Name : REGINA L PATTERSON
Credential :
Telephone Number : 334-206-5061
Provider Enumeration Date : 02/15/2007
Last Update Date : 09/17/2024

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Directions to “CHILTON COUNTY HEALTH DEPT EPSDT ” Practice Location

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