Organization
COOSA COUNTY HEALTH DEPT OFFSITE EPSDT
Active
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
REGINA L PATTERSON (DIRECTOR OF HEALTH SYSTEMS)
(334) 206-5061
Entity
Organization
Contact information
Practice address
MAIN STREET, ROCKFORD, AL 35136
(256) 377-4364
Mailing address
PO BOX 219, ROCKFORD, AL 35136-0219
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235801900
—
AL
Enumeration date
02/15/2007
Last updated
09/19/2024
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