STATE OF ALABAMA (NPI# 1659540086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659540086 |
| Entity Type | Organization |
| Organization Name | STATE OF ALABAMA |
| Other Organization Name | CONECUH COUNTY DHR |
| Practice Address |
Highway 83 and I-65 Evergreen AL 36401-0565 |
| Mailing Address |
50 N Ripley St Family Services Division Montgomery AL 36130-1001 |
| Practice Telephone | 2515783900 |
| Practice Fax Number | 2515785582 |
| Mailing Telephone | 3342421310 |
| Mailing Fax Number | 3342420198 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | MR. PARRIS L CORLEY (DEPUTY COMMISSIONER FISCAL & ADMIN) |
| Authorized Official Telephone | 3342428395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| CONECUH COUNTY DHR | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124298351 | State of Alabama | Public Health or Welfare | 535 N Broadnax St, Dadeville, AL 36853-0100 | 2008-03-04 |
| 1154591469 | State of Alabama | Public Health or Welfare | Multi-service Center Building, Courthouse Annex, Carrollton, AL 35447-0031 | 2008-03-04 |
| 1578733838 | State of Alabama | Public Health or Welfare | 112 Water St, Camden, AL 36726-1731 | 2008-03-03 |
| 1770753006 | State of Alabama | Public Health or Welfare | 1003 25th Ave, Phenix City, AL 36869-5349 | 2008-03-03 |
| 1902076227 | State of Alabama | Public Health or Welfare | 204 Highway 97, Hayneville, AL 36040-0036 | 2008-03-03 |
| 1114197530 | State of Alabama | Public Health or Welfare | 507 14th St Se, Decatur, AL 35601-5907 | 2008-03-03 |
| 1134399496 | State of Alabama | Public Health or Welfare | 987 Highway 70, Columbiana, AL 35051-0000 | 2008-03-03 |
| 1659541050 | State of Alabama | Public Health or Welfare | 1925 Gunter Ave, Guntersville, AL 35976-2111 | 2008-03-03 |
| 1225208648 | State of Alabama | Public Health or Welfare | 3030 Mobile Hwy, Montgomery, AL 36108-4027 | 2008-03-03 |
| 1679743918 | State of Alabama | Public Health or Welfare | 3105 15th Ave N, Pell City, AL 35125-1494 | 2008-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF ALABAMA | 100 E Court Sq, Ozark, AL 36360-1440 |
| Street Address |
HIGHWAY 83 AND I-65 |
| City | EVERGREEN |
| State | AL |
| Zip Code | 36401-0565 |
| 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 |
| 1114447604 | Conecuh County Health Dept Std | Public Health or Welfare | 102 Wild Ave, Evergreen, AL 36401-2134 | 2017-06-26 |
| Find all providers in zip 36401 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114447604 | Conecuh County Health Dept Std | Public Health or Welfare | 102 Wild Ave, Evergreen, AL 36401-2134 | 2017-06-26 |
| 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 STATE OF ALABAMA.
| 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.