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Contact Information

COFFEE COUNTY HEALTH DEPT-ENTERPRISE EPSDT CM
2841 NEAL METCALF RD
ENTERPRISE, AL36330-8003
 Phone: 334-347-9574
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for COFFEE COUNTY HEALTH DEPT-ENTERPRISE EPSDT CM

NPI # 1689718439
LBN Legal business name COFFEE COUNTY HEALTH DEPT-ENTERPRISE EPSDT CM
Authorized official REGINA PATTERSON - (DIRECTOR OF HEALTH SYSTEMS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2007
Last updated 09/20/2024 - More than a year ago
Identifiers
AL Medicaid 481600888
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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