JACKSON COUNTY HEALTH DEPT ADULT IMMUN (NPI# 1326181702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326181702 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY HEALTH DEPT ADULT IMMUN |
| Practice Address |
204 Liberty Ln Scottsboro AL 35769-4133 |
| Mailing Address |
Po Box 398 Scottsboro AL 35768-0398 |
| Practice Telephone | 2562594161 |
| 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 |
204 LIBERTY LN |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35769-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411898 | State of Alabama Department of Public Health | Home Health | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2006-10-17 |
| 1457872608 | Jackson County Health Dept Std | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2017-06-28 |
| 1356659890 | Debra Taylor | Nurse Practitioner | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2010-09-17 |
| 1770618886 | State of Alabama Department of Public Health | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-22 |
| 1184768012 | Jackson County Health Dept Vfc Immun | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-16 |
| 1073657813 | Jackson County Health Dept Prev Health Ed | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-16 |
| 1972647766 | Jackson County Health Dept Epsdt Cm | Case Management | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-16 |
| 1609910421 | Jackson County Health Dept Fp Cm | Case Management | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-16 |
| 1427192426 | Jackson County Health Dept Pat 1st Cm | Case Management | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-16 |
| 1770626079 | Jackson County Health Dept Mat | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718535 | Healthpointe | Internal Medicine | 24020 John T Reid Pkwy, Scottsboro, AL 35769 | 2020-04-13 |
| 1780192765 | Family First Medicine LLC | Family Medicine | 1601 Veterans Drive, Scottsboro, AL 35769 | 2018-01-12 |
| 1023566205 | Allyscripts LLC | Pharmacy | 201 Lonnie E Crawford Blvd, Suite B, Scottsboro, AL 35769 | 2016-09-15 |
| 1386971257 | Jonathan Wallace Gurr | Pediatrics | 23800 John T. Reid Pkwy, Scottsboro, AL 35769 | 2009-11-12 |
| 1174645923 | The Arc of Jackson County | Day Training, Developmentally Disabled Services | 180 Mack Morris Drive, Scottsboro, AL 35769 | 2007-04-04 |
| 1588742233 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-01 |
| 1851463368 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-14 |
| 1598319121 | Stacy Kennamer | Occupational Therapist | 157 Brad St, Scottsboro, AL 35769-3419 | 2019-07-31 |
| 1376864132 | Laurel Rico | Occupational Therapist | 692 Ruby Johnson Dr, Scottsboro, AL 35769-3633 | 2010-06-16 |
| 1497848063 | Douglass Vance | Military Health Care Provider | 264 Belle Dr, Scottsboro, AL 35769-3652 | 2006-10-02 |
| Find all providers in zip 35769 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861661282 | State of Alabama | Public Health or Welfare | 205 Liberty Ln, Scottsboro, AL 35769-4134 | 2008-02-29 |
| 1457872608 | Jackson County Health Dept Std | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2017-06-28 |
| 1770618886 | State of Alabama Department of Public Health | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-22 |
| 1184768012 | Jackson County Health Dept Vfc Immun | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-16 |
| 1073657813 | Jackson County Health Dept Prev Health Ed | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-16 |
| 1770626079 | Jackson County Health Dept Mat | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-15 |
| 1689717985 | Jackson County Health Dept Epsdt | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-15 |
| 1679616007 | Jackson County Health Dept Fp Clinic | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-15 |
| 1295878353 | Jackson County Health Dept Pri Care | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-15 |
| 1821131178 | Jackson County Health Dept Offsite Epsdt | Public Health or Welfare | 204 Liberty Ln, Scottsboro, AL 35769-4133 | 2007-02-15 |
| Find all providers in SCOTTSBORO | ||||
| City | SCOTTSBORO |
| Zip Code | 35769 |
Please comment or provide details below to improve the information on JACKSON COUNTY HEALTH DEPT ADULT IMMUN.
| 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.