STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH


Address: 100 Samuel O Moseley Dr, Selma, AL 36701-6729
Phone: 3348722323

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH (NPI# 1497824361) 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) 1497824361
Entity Type Organization
Organization Name STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other Organization Name DALLAS COUNTY HOME CARE
Practice Address 100 Samuel O Moseley Dr
Selma
AL 36701-6729
Mailing Address 201 Monroe St
The Rsa Tower, Suite 1200
Montgomery
AL 36104-3735
Practice Telephone 3348722323
Practice Fax Number 3348720279
Mailing Telephone 3342065341
Mailing Fax Number 3342065724
Enumeration Date 2006-11-07
Last Update Date 2007-07-27
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 # DAL9924A 01

Other Provider/Organization Names

Other Name Type Code
Dallas 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 100 SAMUEL O MOSELEY DR
City SELMA
State AL
Zip Code 36701-6729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205916897 State of Alabama Department of Public Health Home Health 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2006-10-17
1609901719 State of Alabama Department of Public Health Public Health or Welfare 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-22
1942344932 Dallas County Health Dept Pat 1st Cm Case Management 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-16
1386788396 Dallas County Health Dept Vfc Immun Public Health or Welfare 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-16
1104960954 Dallas County Health Dept Epsdt Cm Case Management 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-16
1316081151 Dallas County Health Dept Prev Health Ed Public Health or Welfare 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-16
1700929189 Dallas County Health Dept Child Case Management 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-15
1609919703 Dallas County Health Dept Fp Cm Case Management 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-15
1700929130 Dallas County Health Dept Fp Clinic Public Health or Welfare 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-15
1467595736 Dallas County Health Dept Aids Case Management 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2007-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114491057 Monica Boswell Moore Nurse Practitioner 1015 Medical Center Parkway, Selma, AL 36701 2019-01-14
1649784430 Lightfoot Chiropractic Clinic, LLC Chiropractor 2117 Broad Street, Selma, AL 36701 2017-12-01
1356883284 Vatausha Howard Counselor 1017 Medical Center Parkway, Selma, AL 36701 2016-11-09
1366993230 Homestead Hospice of Cahaba Hospice, Inpatient 3005 Citizens Parkway, Selma, AL 36701 2016-10-17
1497018675 Lashana Faye Jones Technician 2423 A North Broad St, Selma, AL 36701 2012-06-21
1528222809 Eric M. Roussell Sr. Pharmacist 1300 Highland Avenue, Selma, AL 36701 2008-07-15
1144499302 Cecil William Fuller Sr. Dentist 203 Dallas Ave, Selma, AL 36701 2008-02-21
1184813396 Alliance Pharmacy LLC Pharmacy 133 1half Broad St, Selma, AL 36701 2007-10-24
1376740373 Selma City Local Education Agency (LEA) 2194 Broad Street, Selma, AL 36701 2007-07-02
1245356229 Georgia W Rhodes Audiologist 2906 Citizens Pkwy, Selma, AL 36701 2007-03-22
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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
1861924128 Doss Home Health Care Home Health 232 Hardin Dr, Selma, AL 36701-8312 2017-03-28
1093085698 Optimal Healthcare Services Home Health 2609 Pine Forrest Cir, Selma, AL 36701-7256 2012-01-12
1518251099 Selma Innovation Technology Training Institute Home Health 116 Mabry St, Selma, AL 36701-4636 2011-06-02
1407178874 Southern Assured Home Health, LLC Home Health 9330 Corporate Dr, Suite 304, Selma, TX 78154-1251 2010-02-25
1710114806 Christian Home Care Home Health 200 S Massey St, Selma, NC 27576-3008 2009-06-16
1972707222 Preferred Home Care, Inc. Home Health 1100- B S. Pollock Street, Selma, NC 27576 2007-06-12
1205916897 State of Alabama Department of Public Health Home Health 100 Samuel O Moseley Dr, Selma, AL 36701-6729 2006-10-17
1144323403 Brown Drug Company, Inc. Home Health 101 Samuel O Moseley Dr, Selma, AL 36701-6730 2006-09-05
1558392795 Mid-south Home Health, LLC Home Health 200 Central Park Pl, Selma, AL 36701-7735 2006-07-05
1033177332 Amedisys Home Health of Alabama, LLC Home Health 108 Executive Park Ln, Selma, AL 36701-7734 2006-05-03
Find all providers in SELMA

Competitor

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City SELMA
Zip Code 36701

Improve Information

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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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