Provider Demographics
NPI:1013482355
Name:ALABAMA DEPT OF PUBLIC HEALTH
Entity Type:Organization
Organization Name:ALABAMA DEPT OF PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-206-5200
Mailing Address - Street 1:201 MONROE STREET
Mailing Address - Street 2:RSA TOWER, SUITE 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 1:301 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2349
Practice Address - Country:US
Practice Address - Phone:205-755-1287
Practice Address - Fax:205-755-2027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALABAMA DEPARTMENT OF PUBLIC HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health