DALLAS COUNTY HEALTH DEPT STD (NPI# 1972024289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972024289 |
| Entity Type | Organization |
| Organization Name | DALLAS COUNTY HEALTH DEPT STD |
| Practice Address |
100 Sam Moseley Dr Selma AL 36701-6729 |
| Mailing Address |
201 Monroe Street Suite 1600 Rsa Tower - Centralized Billing Unit Montgomery AL 36104-3721 |
| Practice Telephone | 3348742550 |
| Practice Fax Number | 3348757960 |
| Mailing Telephone | 3342067065 |
| Mailing Fax Number | 3342063998 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| 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 |
100 SAM MOSELEY DR |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6729 |
| 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 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790954162 | State of Alabama | Public Health or Welfare | 200 Moseley Dr, Selma, AL 36701-7731 | 2008-02-29 |
| 1609901719 | State of Alabama Department of Public Health | Public Health or Welfare | 100 Samuel O Moseley Dr, Selma, AL 36701-6729 | 2007-02-22 |
| 1386788396 | Dallas County Health Dept Vfc Immun | Public Health or Welfare | 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 |
| 1700929130 | Dallas County Health Dept Fp Clinic | Public Health or Welfare | 100 Samuel O Moseley Dr, Selma, AL 36701-6729 | 2007-02-15 |
| 1811030182 | Dallas County Health Dept Epsdt | Public Health or Welfare | 100 Samuel O Moseley Dr, Selma, AL 36701-6729 | 2007-02-15 |
| 1174666499 | Dallas County Health Dept Offsite Epsdt | Public Health or Welfare | 100 Samuel O Moseley Dr, Selma, AL 36701-6729 | 2007-02-15 |
| 1356484588 | Dallas County Health Dept Pri Care | Public Health or Welfare | 100 Samuel O Moseley Dr, Selma, AL 36701-6729 | 2007-02-15 |
| 1558404939 | Dallas County Health Dept Adult Immun | Public Health or Welfare | 100 Samuel O Moseley Dr, Selma, AL 36701-6729 | 2007-02-15 |
| 1376686667 | Dallas County Health Dept Mat | Public Health or Welfare | 100 Samuel O Moseley Dr, Selma, AL 36701-6729 | 2007-02-15 |
| Find all providers in SELMA | ||||
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| 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.