Organization
CHOCTAW COUNTY HEALTH DEPT 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
1001 S MULBERRY AVE, BUTLER, AL 36904-2813
(205) 459-4026
Mailing address
1001 S MULBERRY AVE, BUTLER, AL 36904-2813
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
—
481200888
—
AL
Enumeration date
02/16/2007
Last updated
09/18/2024
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