Full Name | |
---|---|
Speciality | Clinic/center - Public Health, State Or Local |
Location | 5580 Inn Rd, Mobile, Alabama |
Authorized Official Name and Position | Linette Clausman (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2516908837 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
251 N Bayou St Mobile AL 36603-5827 Ph: (251) 690-8158 | 5580 Inn Rd Mobile AL 36619-1904 Ph: (251) 410-8427 |
NPI Number | 1104095579 |
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Provider Enumeration Date | 02/29/2008 |
Last Update Date | 10/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104095579 | NPI | - | NPPES |
590140056 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | 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 |