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Organization
TALLADEGA COUNTY HEALTH DEPT-TALLADEGA EPSDT CM
Active
Organization
TALLADEGA COUNTY HEALTH DEPT-TALLADEGA EPSDT CM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA L PATTERSON (DIRECTOR OF HEALTH SYSTEMS)
(334) 206-5061
Entity
Organization
Contact information
Practice address
223 HAYNES ST, TALLADEGA, AL 35160-2559
(256) 362-2593
Mailing address
223 HAYNES ST, TALLADEGA, AL 35160-2559
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
486100888
—
AL
Enumeration date
02/14/2007
Last updated
09/20/2024
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