| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1904 Bishop Ave, Mobile, Alabama |
| Authorized Official Name and Position | Charles White (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2514324117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2048 Mobile AL 36652-2048 Ph: (251) 432-4117 | 1904 Bishop Ave Mobile AL 36610 Ph: (251) 452-1010 |
| NPI Number | 1013986785 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013986785 | NPI | - | NPPES |
| 630007014 | Medicaid | AL |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Bay Area Community Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Government Blvd, Suite408, Mobile, AL 36693 Phone: 251-602-1911 |