| Durable Medical Equipment Division | |
|
12701 Padgett Switch Rd Irvington AL 36544-4011 | |
| (251) 824-2174 | |
| (251) 824-3444 |
| Full Name | Durable Medical Equipment Division |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12701 Padgett Switch Rd, Irvington, Alabama |
| Authorized Official Name and Position | James A. Holland (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2518242174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durable Medical Equipment Division Po Box 769 Bayou La Batre AL 36509-0769 Ph: (251) 824-2174 | Durable Medical Equipment Division 12701 Padgett Switch Rd Irvington AL 36544-4011 Ph: (251) 824-2174 |
| NPI Number | 1275729246 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275729246 | NPI | - | NPPES |
| 009998450 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N/A (Alabama) | Primary |
Southwest Alabama Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 | |
Distribution Of Contraceptives Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 | |
Vaccine For Children Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 |