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NPI Code Detail

MEDICARE: TALLAPOOSA COUNTY HEALTH DEPT-ALEX CITY MAT

MEDICARE: TALLAPOOSA COUNTY HEALTH DEPT-ALEX CITY MAT
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 : 1881737963
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALLAPOOSA COUNTY HEALTH DEPT-ALEX CITY MAT
Provider Business Mailing Address
First Line : 2078 SPORTPLEX BLVD
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-4472
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2078 SPORTPLEX BLVD
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-4472
Country : US
Telephone Number : 256-329-0531
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 : 09/23/2024

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Practice Fax:
1205979531 — TALLAPOOSA COUNTY HEALTH DEPT-ALEX CITY EPSDT
Practice Location Address:
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35010-4472
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Practice Fax:

Directions to “TALLAPOOSA COUNTY HEALTH DEPT-ALEX CITY MAT ” Practice Location

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