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AUTAUGA COUNTY HEALTH DEPT OFFSITE EPSDT

Public Health or Welfare

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Contact Information

AUTAUGA COUNTY HEALTH DEPT OFFSITE EPSDT
219 N COURT ST
PRATTVILLE, AL  36067-3003
 Phone: 334-361-3743
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Public Health or Welfare

 251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for AUTAUGA COUNTY HEALTH DEPT OFFSITE EPSDT

NPI Number 1629111935
LBN Legal business name AUTAUGA COUNTY HEALTH DEPT OFFSITE EPSDT
Authorized official REGINA PATTERSON - (DIRECTOR OF HEALTH SYSTEMS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 09/19/2024 - More than a year ago
Identifiers
AL Medicaid 235800100
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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