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MOBILE COUNTY BOARD OF HEALTH NPI 1740543669


NPI Information

NPI: 1740543669
Provider Name: MOBILE COUNTY BOARD OF HEALTH

Doing Business As: NORTH BALDWIN RURAL HIV CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
312 COURTHOUSE SQ
BAY MINETTE, AL
ZIP 36507
Phone: (251) 690-8133
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MOBILE COUNTY BOARD OF HEALTH is a federally qualified health center (fqhc) clinic center in Bay Minette, AL. MOBILE COUNTY BOARD OF HEALTH NPI is 1740543669. The provider is registered as an organization entity type.
The provider Is Doing Business As North Baldwin Rural Hiv Clinic.

The provider's business location address is:

312 COURTHOUSE SQ
BAY MINETTE, AL
ZIP 36507-809
Phone: (251) 690-8133
Fax: (251) 544-2122

The provider's authorized official is Kelly Warren .
The authorized official title is Executive Director and has the following contact phone number (251) 690-8158.

The enumeration date for this NPI number is 6/18/2012 and was last updated on 4/29/2021.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
1141600MEDICAIDALABAMA

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

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