STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH


Address: 709 East Broad Street, Gadsden, AL 35903
Phone: 2565475012

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH (NPI# 1114007713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114007713
Entity Type Organization
Organization Name STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other Organization Name ETOWAH COUNTY HOME CARE
Practice Address 709 East Broad Street
Gadsden
AL 35903
Mailing Address 201 Monroe St
The Rsa Tower, Suite1200
Montgomery
AL 36104-3735
Practice Telephone 2565475012
Practice Fax Number 2565430067
Mailing Telephone 3342065341
Mailing Fax Number 3342065985
Enumeration Date 2006-10-17
Last Update Date 2009-09-28
Authorized Official Name GROVER T WEDGEWORTH (STATE HOME CARE DIRECTOR)
Authorized Official Telephone 3342065341
Is Organization Subpart Y
Parent Organization Name STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
Etowah County Home Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376851162 State of Alabama Department of Public Health Nurse Practitioner 15 Hospital Rd., Crenshaw Co. Health Dept, Luverne, AL 36049 2010-09-15
1942517420 State of Alabama Department of Public Health Nurse Practitioner 20 Technology Ct., Martha C. Myers F/p Clinic, Montgomery, AL 36116-3200 2010-09-07
1801103387 State of Alabama Department of Public Health Nurse Practitioner 510 Cherry St. Ne, Decatur, AL 35602-1628 2010-09-07
1831406313 State of Alabama Department of Public Health Nurse Practitioner 301 Max Luther Drive, Huntsville, AL 35811-1724 2010-09-07
1104133693 State of Alabama Department of Public Health Nurse Practitioner 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 2010-09-07
1154572840 State of Alabama Department of Public Health Public Health or Welfare 201 Monroe Street, Suite 1080, Montgomery, AL 36104 2008-10-01
1447326731 State of Alabama Department of Public Health Home Health 4200-a Highway 79, South, Guntersville, AL 35976 2006-11-28
1194894469 State of Alabama Department of Public Health Home Health 110 Thomas St, Athens, AL 35611-2120 2006-11-08
1457420952 State of Alabama Department of Public Health Home Health 709 E Broad St, Gadsden, AL 35903-2452 2006-11-07
1750460523 State of Alabama Department of Public Health Home Health 2024 Granade, Chatom, AL 36518 2006-11-03

Office Location

Street Address 709 EAST BROAD STREET
City GADSDEN
State AL
Zip Code 35903

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821519612 Fresenius Kidney Care Gadsden Acq, LLC Clinic/Center 800 Goodyear Ave, Gadsden, AL 35903 2017-06-30
1992140545 Kristy Bray Nurse Practitioner 1007 Goodyear Avenue, Gadsden, AL 35903 2013-05-08
1386918076 Chinyere Hope Buchi-ahiabuike Nurse Practitioner 1216 Wilbanks Ave, Gadsden, AL 35903 2012-02-28
1003047606 Housing Opportunities for Persons With Exceptionalities, Inc. Community/Behavioral Health 327 N. 10th Street, Gadsden, AL 35903 2009-07-30
1154596690 Cardiovascular Imaging Technician, Cardiology 5606 2nd St, Hokes Bluff, AL 35903 2008-04-25
1336246321 Terisa Ann Thomas Specialist 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 2006-09-20
1508874512 Steven Michael Sanders Family Medicine 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 2006-08-04
1184673535 Quality of Life Health Services, Inc. Clinic/Center 1216 Wilbanks Avenue, Gadsden, AL 35903 2006-05-10
1306838818 Thomas A Pugliese Internal Medicine 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 2005-08-19
1710988183 Russell S Whitaker Internal Medicine 300 Medical Center Drive, Suite 201, Gadsden, AL 35903 2005-08-09
Find all providers in zip 35903

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114451846 Comfort Care Home Health of Northeast Alabama, LLC Home Health 100 Medical Center Dr Ste 306, Gadsden, AL 35903-1141 2017-04-19
1346591187 Ultra Care of Etowah County Home Health 100 Medical Center Dr., Suite 306, Gadsden, AL 35903-1134 2012-09-19
1417135724 Alabama Family Health Care. Inc Home Health 307 S 5th St Ste A, Gadsden, AL 35901-4259 2008-02-08
1578775003 Amedisys Home Health 525 S. 3rd St., Gadsden, AL 35904 2007-05-04
1457420952 State of Alabama Department of Public Health Home Health 709 E Broad St, Gadsden, AL 35903-2452 2006-11-07
1821010679 Gadsden Home Care Services LLC Home Health 300 Medical Center Dr Ste 403, Gadsden, AL 35903-1104 2006-07-24
1760967301 Alabama Home Health Care Providers, Inc. Home Health 135 N 4th St, Gadsden, AL 35901-3705 2018-09-29
1588098420 State of Alabma Department of Public Health Home Health 709 E Broad St, Gadsden, AL 35903-2452 2013-08-28
1760603096 Casey Lenn Wigley Home Health 525 S 3rd St Ste C, Gadsden, AL 35901-5350 2007-05-02
1902960008 Susan Rikansrud Home Health 510 S 4th St, Gadsden, AL 35901-5217 2006-12-21
Find all providers in GADSDEN

Competitor

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City GADSDEN
Zip Code 35903

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Dataset Information

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.

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