CLEBURNE COUNTY HEALTH DEPT STD (NPI# 1104347400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104347400 |
| Entity Type | Organization |
| Organization Name | CLEBURNE COUNTY HEALTH DEPT STD |
| Practice Address |
90 Brockford Rd Heflin AL 36264-1677 |
| Mailing Address |
201 Monroe Street Suite 1600 Rsa Tower - Centralized Billing Unit Montgomery AL 36104-3721 |
| Practice Telephone | 2564632296 |
| Practice Fax Number | 2564632772 |
| Mailing Telephone | 3342067065 |
| Mailing Fax Number | 3342063998 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | MS. ARNITA SHEPHERD (CBU DIRECTOR) |
| Authorized Official Telephone | 3342067065 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | ALABAMA DEPARTMENT OF PUBLIC HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Street Address |
90 BROCKFORD RD |
| City | HEFLIN |
| State | AL |
| Zip Code | 36264-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397940 | Cheaha Area Regional Emergency Specialist | Family Medicine | 1219 Almon St, Suite C, Heflin, AL 36264 | 2017-10-16 |
| 1023394574 | Mt Cheaha Dental PC | Dentist | 386 Ross St, Heflin, AL 36264 | 2011-10-28 |
| 1528690666 | Holley Fenn | Counselor | 29 Owen Cir Unit A2, Heflin, AL 36264-1119 | 2020-02-06 |
| 1649203365 | Cleburne Pharmacy LLC | Pharmacy | 875 Ross St, Heflin, AL 36264-1131 | 2006-07-08 |
| 1528327681 | Frank B Tant | Pharmacist | 875 Ross St, Heflin, AL 36264-1131 | 2012-05-10 |
| 1558374967 | Will David Jacks II | Pharmacist | 875 Ross St, Heflin, AL 36264-1131 | 2006-08-15 |
| 1912036914 | Lloyds Group Inc | Family Medicine | 938 Ross St, Heflin, AL 36264-1134 | 2007-03-05 |
| 1972859429 | Donna Lynn Hubbard | Nurse Practitioner | 938 Ross St, Heflin, AL 36264-1134 | 2012-08-01 |
| 1134180581 | Durable Medical Equipment, Inc | Prosthetic/Orthotic Supplier | 978 Ross St, Heflin, AL 36264-1164 | 2006-03-28 |
| 1538138490 | Family Pharmacy, Inc | Pharmacy | 960 Ross St, Heflin, AL 36264-1164 | 2006-03-14 |
| Find all providers in zip 36264 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437328887 | State of Alabama | Public Health or Welfare | 732 Oxford St, Heflin, AL 36264-1175 | 2008-02-29 |
| 1629127469 | Cleburne County Health Dept Mat | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-01-10 |
| 1225163314 | State of Alabama Department of Public Health | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-22 |
| 1730223728 | Cleburne County Health Dept Vfc Immun | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-16 |
| 1619011475 | Cleburne County Health Dept Prev Health Ed | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-16 |
| 1508909722 | Cleburne County Health Dept Epsdt | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-15 |
| 1376686543 | Cleburne County Health Dept Fp Clinic | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-15 |
| 1801939228 | Cleburne County Health Dept Adult Immun | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-15 |
| 1568505782 | Cleburne County Health Dept Pri Care | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-15 |
| 1235272303 | Cleburne County Health Dept Offsite Epsdt | Public Health or Welfare | Brockford Road, Heflin, AL 36264-1605 | 2007-02-15 |
| Find all providers in HEFLIN | ||||
Please comment or provide details below to improve the information on CLEBURNE COUNTY HEALTH DEPT STD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.