MACON COUNTY HEALTH DEPT EPSDT (NPI# 1053454371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053454371 |
Entity Type | Organization |
Organization Name | MACON COUNTY HEALTH DEPT EPSDT |
Practice Address |
812 Hospital Rd Tuskegee AL 36083-1541 |
Practice Telephone | 3347271800 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | REGINA L PATTERSON (DIRECTOR OF HEALTH SYSTEMS) |
Authorized Official Telephone | 3342065061 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
Street Address |
812 HOSPITAL RD |
City | TUSKEGEE |
State | AL |
Zip Code | 36083-1541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871679597 | State of Alabama Department of Public Health | Home Health | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2006-10-27 |
1821519992 | Macon County Health Dept Std | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2017-06-29 |
1851426969 | State of Alabama Department of Public Health | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-22 |
1760517874 | Macon County Health Dept Offsite Epsdt | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-22 |
1346384278 | Macon County Health Dept Vfc Immun | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-16 |
1316081136 | Macon County Health Dept Fp Cm | Case Management | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-16 |
1386788388 | Macon County Health Dept Pat 1st Cm | Case Management | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-16 |
1225172091 | Macon County Health Dept Prev Health Ed | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-16 |
1396888483 | Macon County Health Dept Pri Care | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-15 |
1376686709 | Macon County Health Dept Fp Clinic | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
1689902710 | Penny M Genous | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-12-01 |
1194954255 | Kevin Mcbeth Johnson | Student in an Organized Health Care Education/Training Program | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-07-10 |
Find all providers in zip 36083 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821519992 | Macon County Health Dept Std | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2017-06-29 |
1477723864 | State of Alabama | Public Health or Welfare | 404 N Main St, Tuskegee, AL 36083-1726 | 2008-03-03 |
1851426969 | State of Alabama Department of Public Health | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-22 |
1760517874 | Macon County Health Dept Offsite Epsdt | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-22 |
1346384278 | Macon County Health Dept Vfc Immun | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-16 |
1225172091 | Macon County Health Dept Prev Health Ed | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-16 |
1396888483 | Macon County Health Dept Pri Care | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-15 |
1376686709 | Macon County Health Dept Fp Clinic | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-15 |
1124161518 | Macon County Health Dept Adult Immun | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-15 |
1386787687 | Macon County Health Dept Mat | Public Health or Welfare | 812 Hospital Rd, Tuskegee, AL 36083-1541 | 2007-02-15 |
Find all providers in TUSKEGEE |
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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.