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NPI Code Detail

MEDICARE: RUSSELL COUNTY HEALTH DEPT PRI CARE

MEDICARE: RUSSELL COUNTY HEALTH DEPT PRI CARE
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 : 1336282433
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUSSELL COUNTY HEALTH DEPT PRI CARE
Provider Business Mailing Address
First Line : PO BOX 548
Second Line :
City : PHENIX CITY
State : AL
Zip : 36868-0548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1850 CRAWFORD RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-4222
Country : US
Telephone Number : 334-297-0251
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 “RUSSELL COUNTY HEALTH DEPT PRI CARE ” Practice Location

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