| Southwest Alabama Health Services | |
|
12701 Padgett Switch Rd Irvington AL 36544-4011 | |
| (251) 824-2174 | |
| (251) 824-3444 |
| Full Name | Southwest Alabama Health Services |
|---|---|
| Speciality | Clinic/Center |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Alabama Health Services Po Box 769 Bayou La Batre AL 36509-0769 Ph: (251) 824-2174 | Southwest Alabama Health Services 12701 Padgett Switch Rd Irvington AL 36544-4011 Ph: (251) 824-2174 |
| NPI Number | 1396794426 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 3577472810 |
|---|---|
| Medicare Enrollment ID | O20030314000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396794426 | NPI | - | NPPES |
| 4375120001 | Other | AL | DURABLE MEDICAL EQUIPMENT |
| 1548456510 | Other | AL | DISTRIBUTION OF CONTRACEPTIVES |
| 1811183882 | Other | VACCINE FOR CHILDREN | |
| 630000015 | Medicaid | AL | |
| CN2482 | Other | AL | RAILROAD MEDICARE |
| 01DO692392 | Other | AL | CLIA |
| 1396794426 | Other | AL | NPI |
| 4375120001 | Other | AL | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N/A (Alabama) | Primary |
Durable Medical Equipment 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 | |
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 |