STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH


Address: 1001 S Mulberry Ave, Butler, AL 36904-2813
Phone: 2054594013

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH (NPI# 1184708620) 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) 1184708620
Entity Type Organization
Organization Name STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other Organization Name CHOCTAW COUNTY HOME CARE
Practice Address 1001 S Mulberry Ave
Butler
AL 36904-2813
Mailing Address 201 Monroe St
The Rsa Tower, Suite 1200
Montgomery
AL 36104-3735
Practice Telephone 2054594013
Practice Fax Number 2054593184
Mailing Telephone 3342065341
Mailing Fax Number 3342065724
Enumeration Date 2006-10-24
Last Update Date 2007-07-26
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 Identifier

State Issuer Identifier Type Code
AL BIOMONITORING PROVIDER # CHO9912A 01

Other Provider/Organization Names

Other Name Type Code
Choctaw 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 1001 S MULBERRY AVE
City BUTLER
State AL
Zip Code 36904-2813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235650532 Choctaw County Health Dept Std Public Health or Welfare 1001 S Mulberry Ave, Butler, AL 36904-2813 2017-06-28
1073836482 Dana Elizabeth Allen Nurse Practitioner 1001 S Mulberry Ave, Butler, AL 36904-2813 2010-03-12
1790808343 Janice Hale Bradford Nurse Practitioner 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-04-09
1831224930 State of Alabama Department of Public Health Public Health or Welfare 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-02-22
1598809584 Choctaw County Health Dept Vfc Immun Public Health or Welfare 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-02-16
1417091265 Choctaw County Health Dept Epsdt Cm Case Management 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-02-16
1538203336 Choctaw County Health Dept Mat Cm Case Management 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-02-16
1508909979 Choctaw County Health Dept Aids Case Management 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-02-15
1760525000 Choctaw County Health Dept Fp Cm Case Management 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-02-15
1538202015 Choctaw County Health Dept Adult Immun Public Health or Welfare 1001 S Mulberry Ave, Butler, AL 36904-2813 2007-02-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184993727 Rush Hospital/butler, Inc. General Acute Care Hospital 401 Vanity Fair Lane, Butler, AL 36904 2011-12-28
1043360233 Joseph M Moody Dentist 505 E Pushmataha Street, Butler, AL 36904 2007-01-11
1811268592 Rush Hospital/butler,inc Emergency Medicine 401 Vanity Fair Lane, Butler, AL 36904 2012-01-26
1811268410 Rush Hospital/butler, Inc. Medicare Defined Swing Bed Unit 401 Vanity Fair Lane, Butler, AL 36904 2012-01-13
1487739314 Louis Keith Guinn Family Medicine 315 E Pushmataha St, Butler, AL 36904-0678 2006-10-26
1164859583 Mustard Seed Companion Care In Home Supportive Care 702 Stevens Rd, Butler, AL 36904-2151 2013-09-30
1730111766 Freds Stores of Tennessee Inc Pharmacy 307 N Mulberry Ave, Butler, AL 36904-2203 2006-07-07
1457587404 Gentiva Certified Healthcare Corp. Home Health 114 N Academy Ave, Butler, AL 36904-2206 2009-06-04
1558445999 Jimmy Cleveland White Dentist 123 W Alabama St, Butler, AL 36904-2211 2006-10-24
1962737916 W Britt Morris, Dmd PC Dentist 123 W Alabama St, Butler, AL 36904-2211 2009-10-08
Find all providers in zip 36904

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
1003327511 New Leaf Home Care, LLC Home Health 12714 W Hampton Ave Ste E, Butler, WI 53007-1640 2017-10-24
1457587404 Gentiva Certified Healthcare Corp. Home Health 114 N Academy Ave, Butler, AL 36904-2206 2009-06-04
1609076231 Patterson Health Services Home Health 204 Holyoke Rd, Butler, PA 16001-1277 2007-07-22
1649497108 Amedisys Georgia LLC Home Health 13 South Broad St, Butler, GA 32006-5519 2007-04-19
1528191905 Nursing Care, Incorporated Home Health 1432 Statehighway 23 N., None, Butler, NJ 07405-2120 2007-03-14
1104889567 Visiting Nurses Assoc of Butler Co Home Health 154 Hindman Rd, Butler, PA 16001-2417 2006-04-07
1275503617 Personal Touch Home Care of Pa, Inc Home Health 259 Pittsburgh Rd, Butler, PA 16002-3979 2006-01-26
1174844393 Albert Gallatin Home Care and Hospice Services, L.L.C. Home Health 240 Pullman Sq, Suite 255, Butler, PA 16001-5654 2010-06-22
1407177322 Amedisys Pennsylvania LLC Home Health 240 Pullman Sq, Suite 255, Butler, PA 16001-5654 2010-06-15
1053359844 Bates County Memorial Hospital Home Health 615 W Nursery St, Butler, MO 64730-1840 2006-06-03
Find all providers in BUTLER

Competitor

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City BUTLER
Zip Code 36904

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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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