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Conecuh County Health Dept Std

Public Health or Welfare in Evergreen, AL. Organization (NPI-2).

NPI number1114447604
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1114447604
Entity type
Organization (NPI-2)
Legal business name
Conecuh County Health Dept Std
Organization subpart
Yes
Enumeration date
Jun 26, 2017
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare––Yes

Practice location

102 Wild Ave
Evergreen, AL 36401-2134

Phone 251-578-1952 · Fax 251-578-5566

Mailing address

201 Monroe Street Suite 1600
Rsa Tower - Centralized Billing Unit
Montgomery, AL 36104-3721

Phone 334-206-7065 · Fax 334-206-3998

Authorized official

Arnita Shepherd
Cbu Director
3342067065

Is something wrong?

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Other Public Health or Welfare Agency providers in Evergreen, AL

All 13 Public Health or Welfare Agency providers in Evergreen · All 92 providers in Evergreen

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