Organization
JACKSON 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
204 LIBERTY LN, SCOTTSBORO, AL 35769-4133
(256) 259-4161
Mailing address
PO BOX 398, SCOTTSBORO, AL 35768-0398
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
—
483600888
—
AL
Enumeration date
02/16/2007
Last updated
09/24/2024
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