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251 N Bayou St Mobile AL 36603-5827 | |
(251) 690-8158 | |
(251) 690-8853 |
Full Name | |
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Speciality | Clinic/Center |
Location | 251 N Bayou St, Mobile, Alabama |
Authorized Official Name and Position | Kelly Warren (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2516908158 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2867 Mobile AL 36652-2867 Ph: (251) 690-8158 | 251 N Bayou St Mobile AL 36603-5827 Ph: (251) 690-8158 |
NPI Number | 1063439065 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 04/29/2021 |
Medicare PECOS PAC ID | 9931208386 |
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Medicare Enrollment ID | O20070626000193 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063439065 | NPI | - | NPPES |
630000013 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Alabama) | Primary |
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 |