# CHOCTAW COUNTY HEALTH DEPT OFFSITE EPSDT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164565487
- **Authorized official:** REGINA L PATTERSON (DIRECTOR OF HEALTH SYSTEMS)
- **Authorized official phone:** (334) 206-5061

## Contact information

- **Practice address:** 1001 S MULBERRY AVE, BUTLER, AL 36904-2813
- **Practice address phone:** (205) 459-4026
- **Mailing address:** 1001 S MULBERRY AVE, BUTLER, AL 36904-2813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 09/16/2024