BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD INC. NPI 1396794426

NPI Information

NPI: 1396794426
Provider Name: BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.

Doing Business As: SOUTHWEST ALABAMA HEALTH SERVICES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
12701 PADGETT SWITCH RD
IRVINGTON, AL
ZIP 36544
Phone: (251) 824-2174
Get Directions

BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. is a federally qualified health center (fqhc) clinic center in Irvington, AL. BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. NPI is 1396794426. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Alabama Health Services.

The provider's business location address is:

12701 PADGETT SWITCH RD
IRVINGTON, AL
ZIP 36544-011
Phone: (251) 824-2174
Fax: (251) 824-3444

The provider's authorized official is James A. Holland .
The authorized official title is Chief Executive Officer and has the following contact phone number (251) 824-2174.

The CLIA number assigned to this NPI record is 01D0692392 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	N/A	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4375120001	OTHER	ALABAMA	DURABLE MEDICAL EQUIPMENT
2	1548456510	OTHER	ALABAMA	DISTRIBUTION OF CONTRACEPTIVES
3	1811183882	OTHER		VACCINE FOR CHILDREN
4	630000015	MEDICAID	ALABAMA
5	CN2482	OTHER	ALABAMA	RAILROAD MEDICARE
6	01DO692392	OTHER	ALABAMA	CLIA
7	1396794426	OTHER	ALABAMA	NPI
8	4375120001	OTHER	ALABAMA	MEDICARE DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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