STATE OF ALABAMA (NPI# 1073783320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073783320 |
| Entity Type | Organization |
| Organization Name | STATE OF ALABAMA |
| Other Organization Name | TUSCALOOSA COUNTY DHR |
| Practice Address |
3716 12th Ave E Tuscaloosa AL 35405-2551 |
| Mailing Address |
50 N Ripley St Family Services Montgomery AL 36130-1001 |
| Practice Telephone | 2055541100 |
| Practice Fax Number | 2055540354 |
| 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 |
|---|---|
| TUSCALOOSA 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 |
3716 12TH AVE E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721244 | Tyler Reed Simmons | Social Worker | 3716 12th Ave E, Tuscaloosa, AL 35405-2551 | 2019-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1528590874 | Susan B. Miles | Registered Nurse | 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 | 2017-03-28 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1063702439 | Annette Marie Gibson | Nurse Practitioner | 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 | 2011-04-19 |
| 1790075588 | Jones Counseling and Therapeutic Services | Marriage & Family Therapist | 138-39th Street, Tuscaloosa, AL 35405 | 2011-04-13 |
| 1356513030 | Jennifer Kaye Williams | Licensed Practical Nurse | 5404 4th Ct East, Tuscaloosa, AL 35405 | 2008-04-02 |
| 1679772891 | Vijaya K Kommareddi | Internal Medicine | 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 | 2007-07-17 |
| Find all providers in zip 35405 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063932325 | Tuscaloosa County Health Dept Std | Public Health or Welfare | 2350 Hargrove Rd E, Tuscaloosa, AL 35405-2612 | 2017-06-27 |
| 1851578462 | Tuscaloosa County Health Department | Public Health or Welfare | 1101 Jackson Ave, Tuscaloosa, AL 35401-3220 | 2008-01-25 |
| 1720113731 | State of Alabama Department of Public Health | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-22 |
| 1457495293 | Tuscaloosa County Health Dept Vfc Immun | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-16 |
| 1952445744 | Tuscaloosa County Health Dept Prev Health Ed | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-16 |
| 1679617401 | Tuscaloosa County Health Dept Offsite Epsdt | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-16 |
| 1164566139 | Tuscaloosa County Health Dept Pri Care | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-16 |
| 1609919794 | Tuscaloosa County Health Dept Mat | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-15 |
| 1013050418 | Tuscaloosa County Health Dept Adult Immun | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-15 |
| 1639212970 | Tuscaloosa County Health Dept Epsdt | Public Health or Welfare | 1200 37th St E, Tuscaloosa, AL 35405-2531 | 2007-02-15 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35405 |
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.