AUTAUGA COUNTY HEALTH DEPT OFFSITE EPSDT (NPI# 1629111935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629111935 |
| Entity Type | Organization |
| Organization Name | AUTAUGA COUNTY HEALTH DEPT OFFSITE EPSDT |
| Practice Address |
219 N Court St Prattville AL 36067-3003 |
| Practice Telephone | 3343613743 |
| 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 |
219 N COURT ST |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36067-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699860502 | Susan J Callaham | Physical Medicine & Rehabilitation | 219 N Court St, Prattville, AL 36067-3003 | 2006-10-04 |
| 1508386301 | Autauga County Health Dept Std | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2017-06-22 |
| 1851426951 | State of Alabama Department of Public Health | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-22 |
| 1245374081 | Autauga County Health Dept Adult Immun | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1689718470 | Autauga County Health Dept Pri Care | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1699819466 | Autauga County Health Dept Mat Cm | Case Management | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1497899470 | Autauga County Health Dept Vfc Immun | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1548304371 | Autauga County Health Dept Epsdt Cm | Case Management | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1245373331 | Autauga County Health Dept Prev Health Ed | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-15 |
| 1689717001 | Autauga County Health Dept Aids | Case Management | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316352552 | Agape Me LLC | Case Manager/Care Coordinator | 353 Bent Tree Dr., Prattville, AL 36067 | 2014-06-26 |
| 1770868671 | Susan Elizabeth Swink | Pharmacist | 703 South Memorial Dr, Walgreens Pharmacy, Prattville, AL 36067 | 2011-10-12 |
| 1255501458 | Edwin R. Mullins | Dentist | 268 1st St., Prattville, AL 36067 | 2008-03-04 |
| 1598891046 | James Ronald Roberson Sr. | Dentist | 113 E Main, Prattville, AL 36067 | 2007-02-26 |
| 1326184029 | Prattville Primary Care LLC | Family Medicine | 461 E Main Street, Prattville, AL 36067 | 2007-01-29 |
| 1669591418 | Walter Eugene Parker | Family Medicine | 107 Quail Run, Prattville, AL 36067 | 2007-03-29 |
| 1376582049 | James Daniel Cartwright | Internal Medicine | 808 Durden Rd, Prattville, AL 36067-1533 | 2006-06-06 |
| 1386162816 | Logan Elizabeth Dodd | Speech-Language Pathologist | 815 Durden Rd, Prattville, AL 36067-1534 | 2017-09-05 |
| 1891182200 | Steve Weedon | Specialist/Technologist | 1218 Kingston Garden Rd, Prattville, AL 36067-1704 | 2015-04-23 |
| 1780042887 | James K Nichols Jr. | Nurse Anesthetist, Certified Registered | 101 Coleman Dr, Prattville, AL 36067-1766 | 2016-02-03 |
| Find all providers in zip 36067 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508386301 | Autauga County Health Dept Std | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2017-06-22 |
| 1538338983 | State of Alabama | Public Health or Welfare | 203 N Court St, Prattville, AL 36067-3003 | 2008-02-29 |
| 1851426951 | State of Alabama Department of Public Health | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-22 |
| 1245374081 | Autauga County Health Dept Adult Immun | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1689718470 | Autauga County Health Dept Pri Care | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1497899470 | Autauga County Health Dept Vfc Immun | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-16 |
| 1245373331 | Autauga County Health Dept Prev Health Ed | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-15 |
| 1043353584 | Autauga County Health Dept Fp Clinic | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-15 |
| 1891838264 | Autauga County Health Dept Epsdt | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-02-15 |
| 1922157759 | Autauga County Health Dept Mat | Public Health or Welfare | 219 N Court St, Prattville, AL 36067-3003 | 2007-01-10 |
| Find all providers in PRATTVILLE | ||||
| City | PRATTVILLE |
| Zip Code | 36067 |
Please comment or provide details below to improve the information on AUTAUGA COUNTY HEALTH DEPT OFFSITE EPSDT.
| 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.