Jefferson County Health Dept Eastern Nurse Practitioner

LBN: Jefferson County Board Of Health
Jefferson County Health Dept Eastern Nurse Practitioner is an health care organization with primary practice located at 601 West Blvd , Birmingham AL 35206. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Jefferson County Board Of Health can be contacted via phone (205) 591-5180, or through Clark, Shewanda via phone (205) 558-2158.

Contact Information

Primary practice address
601 West Blvd Birmingham AL 35206
Phone: (205) 591-5180
Fax: (205) 592-2406
Website:
Map and Directions
Authorized official contact:
Name: Clark, Shewanda
Phone: (205) 558-2158

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1306907472
LBN Legal business name Jefferson County Board Of Health
DBA Doing business as Jefferson County Health Dept Eastern Nurse Practitioner
Authorized official Clark, Shewanda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Feb 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306907472 NPPES
Alabama MEDICAID 227310000

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