Provider Demographics
NPI:1356867949
Name:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Entity Type:Organization
Organization Name:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other - Org Name:CRENSHAW COUNTY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STATE HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-206-5200
Mailing Address - Street 1:201 MONROE STREET
Mailing Address - Street 2:RSA TOWER, ST 1200
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104
Mailing Address - Country:US
Mailing Address - Phone:334-206-5677
Mailing Address - Fax:334-206-5985
Practice Address - Street 1:15 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:AL
Practice Address - Zip Code:36049-7341
Practice Address - Country:US
Practice Address - Phone:334-335-2471
Practice Address - Fax:334-335-3795
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health