Organization Name: | JACKSON COUNTY HEALTH DEPT ADULT IMMUN |
NPI Number: | 1326181702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REGINA L PATTERSON (DIRECTOR OF HEALTH SYSTEMS) |
Mailing Address: | 204 Liberty Ln Scottsboro |
State: | AL US |
Postal Code: | 357694133 |
Phone Number: | 2562594161 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |