CONECUH COUNTY HEALTH DEPT STD (NPI# 1114447604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114447604 |
| Entity Type | Organization |
| Organization Name | CONECUH COUNTY HEALTH DEPT STD |
| Practice Address |
102 Wild Ave Evergreen AL 36401-2134 |
| Mailing Address |
201 Monroe Street Suite 1600 Rsa Tower - Centralized Billing Unit Montgomery AL 36104-3721 |
| Practice Telephone | 2515781952 |
| Practice Fax Number | 2515785566 |
| Mailing Telephone | 3342067065 |
| Mailing Fax Number | 3342063998 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| 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 |
102 WILD AVE |
| City | EVERGREEN |
| State | AL |
| Zip Code | 36401-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437347572 | Elizabeth L Godwin | Counselor | 101 Perryman Street Hwy 31, Compass Academy, Evergreen, AL 36401 | 2007-10-12 |
| 1679691661 | Floyd Michael Cartwright | Dentist | 122 Court Street, Evergreen, AL 36401 | 2007-03-27 |
| 1467526038 | Evergreen Dental Center | Dentist | 100 Edwina Street, Evergreen, AL 36401 | 2006-11-17 |
| 1134141229 | Michael L Pitts | Physical Therapist | 124 Edwina St, Evergreen, AL 36401 | 2006-07-24 |
| 1275565442 | Mark A Roberts | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-07-07 |
| 1881677581 | Evergreen Medical Center LLC | Registered Nurse | 308 South Main St, Evergreen, AL 36401 | 2005-11-28 |
| 1063918118 | Jessica Roberts Pierce | Nurse Practitioner | 106 Edwina Street, Evergreen, AL 36401 | 2018-04-05 |
| 1962535112 | Douglas Patrick O'connor | Dentist | 104 Hillcrest Dr, Evergreen, AL 36401 | 2007-03-14 |
| 1952466211 | Mark A Roberts Md PC | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-12-27 |
| 1659540086 | State of Alabama | Public Health or Welfare | Highway 83 and I-65, Evergreen, AL 36401-0565 | 2008-02-29 |
| Find all providers in zip 36401 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659540086 | State of Alabama | Public Health or Welfare | Highway 83 and I-65, Evergreen, AL 36401-0565 | 2008-02-29 |
| 1992854970 | Conecuh County Health Dept Mat | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-01-09 |
| 1710012828 | State of Alabama Department of Public Health | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-22 |
| 1467596460 | Conecuh County Health Dept Vfc Immun | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-16 |
| 1326182155 | Conecuh County Health Dept Prev Health Ed | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-16 |
| 1750424024 | Conecuh County Health Dept Epsdt | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-15 |
| 1447393764 | Conecuh County Health Dept Offsite Epsdt | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-15 |
| 1588707061 | Conecuh County Health Dept Adult Immun | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-15 |
| 1710020946 | Conecuh County Health Dept Pri Care | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-15 |
| 1164565586 | Conecuh County Health Dept Fp Clinic | Public Health or Welfare | 526 Belleville St, Evergreen, AL 36401-3005 | 2007-02-15 |
| Find all providers in EVERGREEN | ||||
Please comment or provide details below to improve the information on CONECUH 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.