Organization Name: | TALLADEGA COUNTY HEALTH DEPT-TALLADEGA PRI CARE |
NPI Number: | 1437293404 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REGINA L PATTERSON (DIRECTOR OF HEALTH SYSTEMS) |
Mailing Address: | 223 Haynes St Talladega |
State: | AL US |
Postal Code: | 351602559 |
Phone Number: | 2563622593 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
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: |