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NPI Code Detail

MEDICARE: JEFFERSON COUNTY BOARD OF HEALTH

MEDICARE: JEFFERSON COUNTY BOARD OF HEALTH
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 : 1558437905
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON COUNTY BOARD OF HEALTH
Provider Business Mailing Address
First Line : PO BOX 2648
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35202-2648
Country : US
Telephone Number : 205-510-3405
Fax Number : 205-510-3474
Provider Business Practice Location Address
First Line : 601 WEST BLVD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35206-1300
Country : US
Telephone Number : 205-510-3405
Fax Number : 205-510-3474
Authorized Official
Title or Position : REVENUE INTEGRITY SUPERVISOR
Name : SHEWANDA CLARK
Credential :
Telephone Number : 205-558-2158
Provider Enumeration Date : 11/28/2006
Last Update Date : 02/12/2019

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Directions to “JEFFERSON COUNTY BOARD OF HEALTH ” Practice Location

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