STATE OF ALABAMA (NPI# 1740450022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740450022 |
| Entity Type | Organization |
| Organization Name | STATE OF ALABAMA |
| Other Organization Name | WASHINGTON COUNTY DHR |
| Practice Address |
712 St Stephens Ave Chatom AL 36518-0600 |
| Mailing Address |
50 N Ripley St Family Services Montgomery AL 36130-1001 |
| Practice Telephone | 2518476100 |
| Practice Fax Number | 2518473554 |
| Mailing Telephone | 3342421310 |
| Mailing Fax Number | 3342420198 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| 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 |
|---|---|
| WASHINGTON 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 |
712 ST STEPHENS AVE |
| City | CHATOM |
| State | AL |
| Zip Code | 36518-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716002 | John Leonard Hubbard Jr. | Family Medicine | 131 Gordy Street, Chatom, AL 36518 | 2017-01-10 |
| 1295191062 | Carli Taylor | Nurse Practitioner | 14714 St. Stephens Ave, Chatom, AL 36518 | 2016-01-11 |
| 1871990929 | Mcconaghy Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 16900 Jordan Street, Suite B, Chatom, AL 36518 | 2014-12-04 |
| 1548424450 | Pulmonary Associate of Mobile PC | Internal Medicine | 14600 St Stephens Avenue, Chatom, AL 36518 | 2008-07-10 |
| 1437330438 | Washington County Healthcare Authority, Inc | General Practice | 14634 St Stephens Ave, Chatom, AL 36518 | 2007-11-19 |
| 1538358064 | Michael Wayne Goldman | Marriage & Family Therapist | 1812 Dixie Youth Drive, Chatom, AL 36518 | 2007-10-22 |
| 1992903694 | Washington County | Local Education Agency (LEA) | 229 Granade Ave, Chatom, AL 36518 | 2007-07-05 |
| 1023151107 | Washington County Health Dept-chatom Epsdt | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-15 |
| 1932251071 | Milton Samuel Reynolds Jr. | Dentist | 17530 Jordan St, Chatom, AL 36518 | 2007-01-17 |
| 1750460523 | State of Alabama Department of Public Health | Home Health | 2024 Granade, Chatom, AL 36518 | 2006-11-03 |
| Find all providers in zip 36518 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151107 | Washington County Health Dept-chatom Epsdt | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-15 |
| 1962922237 | Washington County Health Dept Std | Public Health or Welfare | 14900 Saint Stephens Ave, Chatom, AL 36518-6715 | 2017-06-27 |
| 1508991605 | State of Alabama Department of Public Health | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-22 |
| 1497899199 | Washington County Health Dept-chatom Prev Health Ed | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-16 |
| 1861536849 | Washington County Health Dept-chatom Pri Care | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-16 |
| 1447394291 | Washington County Health Dept Offsite Epsdt | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-16 |
| 1104960996 | Washington County Health Dept-chatom Vfc Immun | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-16 |
| 1013051804 | Washington County Health Dept-mobile Unit Vfc Immun | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-16 |
| 1114061827 | Washington County Health Dept-mobile Unit Prev Health Ed | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-16 |
| 1215070305 | Washington County Health Dept-chatom Mat | Public Health or Welfare | 2024 Granade Avenue, Chatom, AL 36518 | 2007-02-15 |
| Find all providers in CHATOM | ||||
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.