| Organization Name: | STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH |
| NPI Number: | 1245401629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEGGY BLAKENEY (AREA ADMINISTRATION) |
| Mailing Address: | 2841 Neal Metcalf Rd Enterprise |
| State: | AL US |
| Postal Code: | 363308003 |
| Phone Number: | 3343479574 |
| Fax Number: | 3343477104 |
| NPI Enumeration Date: | 03/13/2008 |
| NPI Last Update Date: | 03/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |