STATE OF ALABAMA (NPI# 1770753006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770753006 |
| Entity Type | Organization |
| Organization Name | STATE OF ALABAMA |
| Other Organization Name | RUSSELL COUNTY DHR |
| Practice Address |
1003 25th Ave Phenix City AL 36869-5349 |
| Mailing Address |
50 N Ripley St Family Services Montgomery AL 36130-1001 |
| Practice Telephone | 3342145780 |
| Practice Fax Number | 3342970604 |
| 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 |
|---|---|
| RUSSELL 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 |
| 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 |
| 1073783320 | State of Alabama | Public Health or Welfare | 3716 12th Ave E, Tuscaloosa, AL 35405-2551 | 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 |
1003 25TH AVE |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36869-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392401 | Marie Alexandra Alexander | Social Worker | 1003 25th Ave, Phenix City, AL 36869-5349 | 2019-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1093048720 | Lesia Smith | Counselor | 370 Martin Luther King Jr. Parkway South, Phenix City, AL 36869 | 2009-09-14 |
| 1760641500 | Kzb | Public Health or Welfare | 1114th 16th Court South, Phenix, AL 36869 | 2008-06-06 |
| 1265829337 | Chelsea Scarlett Navarro | Specialist/Technologist | 2700 College Dr Apt 1803, Phenix City, AL 36869-2025 | 2015-04-16 |
| 1760804231 | Eric Graves Sr. | Social Worker | 1 Colonial Ct, Phenix City, AL 36869-2618 | 2014-01-17 |
| 1093371940 | Meleesa Geathers | Contractor | 8 Clayton Ct, Phenix City, AL 36869-3462 | 2019-05-16 |
| 1962960740 | Latasha A Green | Contractor | 25 Kalin St, Phenix City, AL 36869-3469 | 2019-03-11 |
| 1528697224 | Christina Marie Covington | Psychologist | 5 Balsa Dr, Phenix City, AL 36869-3486 | 2020-04-04 |
| 1255890885 | Tremekia Lashae Weston | Behavior Technician | 244 Highway 165, Phenix City, AL 36869-3487 | 2019-03-13 |
| 1578039913 | Kendra Lyons-stovall | Behavioral Analyst | 40 Red Maple Dr, Phenix City, AL 36869-3493 | 2018-10-23 |
| Find all providers in zip 36869 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467973602 | Russell County Health Dept Std | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2017-06-28 |
| 1821123837 | State of Alabama Department of Public Health | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-22 |
| 1912041757 | Russell County Health Dept Vfc Immun | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-16 |
| 1801930680 | Russell County Health Dept Prev Health Ed | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-16 |
| 1811030208 | Russell County Health Dept Adult Immun | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-15 |
| 1336282433 | Russell County Health Dept Pri Care | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-15 |
| 1417090853 | Russell County Health Dept Fp Clinic | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-15 |
| 1689717902 | Russell County Health Dept Epsdt | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-15 |
| 1922141092 | Russell County Health Dept Offsite Epsdt | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-15 |
| 1831232909 | Russell County Health Dept Mat | Public Health or Welfare | 1850 Crawford Rd, Phenix City, AL 36867-4222 | 2007-02-15 |
| Find all providers in PHENIX CITY | ||||
| City | PHENIX CITY |
| Zip Code | 36869 |
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.