Organization
JEFFERSON COUNTY BOARD OF HEALTH
Active
Other names
Plan First Care Coordination Western Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHEWANDA CLARK (REVENUE INTEGRITY SUPERVISOR)
(205) 558-2158
Entity
Organization
Contact information
Practice address
631 BESSEMER SUPER HWY, MIDFIELD, AL 35228
(205) 715-6121
(205) 241-5260
Mailing address
PO BOX 2648, BIRMINGHAM, AL 35202-2648
(205) 558-2158
(205) 930-1575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227339999
—
AL
Enumeration date
12/13/2006
Last updated
02/12/2019
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