| Gulf Coast Treatment Center | |
|
12271 Interchange Rd. Grand Bay AL 36541 | |
| (251) 865-0123 | |
| (251) 865-0247 |
| Full Name | Gulf Coast Treatment Center |
|---|---|
| Speciality | Clinic/center |
| Location | 12271 Interchange Rd., Grand Bay, Alabama |
| Authorized Official Name and Position | Linda Gabriel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2518650123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Treatment Center Po Box 1149 Grand Bay AL 36541-1149 Ph: (251) 865-0123 | Gulf Coast Treatment Center 12271 Interchange Rd. Grand Bay AL 36541 Ph: (251) 865-0123 |
| NPI Number | 1346396397 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346396397 | NPI | - | NPPES |
| 111108 | Other | AL | REGISTERED PHARMACY |
| AL10034M | Other | AL | FEDERAL OTP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AL10034M (Alabama) | Primary |
Grand Bay Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541 Phone: 251-865-9111 | |
South Alabama Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10067 Grand Bay Wilmer Rd S Ste 100, Grand Bay, AL 36541 Phone: 251-810-9525 Fax: 251-810-9536 |