Organization
BULLOCK COUNTY HEALTH DEPT EPSDT
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
103 CONECUH AVE W, UNION SPRINGS, AL 36089-1317
(334) 738-3030
Mailing address
PO BOX 430, UNION SPRINGS, AL 36089-0430
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480600000
—
AL
Enumeration date
02/15/2007
Last updated
09/17/2024
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