| Southwest Alabama Health Services | |
|
7777 Highway 43 North Mcintosh AL 36553-0415 | |
| (251) 944-2842 | |
| (251) 944-8070 |
| Full Name | Southwest Alabama Health Services |
|---|---|
| Speciality | Clinic/center |
| Location | 7777 Highway 43 North, Mcintosh, 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 |
|---|---|
| Southwest Alabama Health Services P.o. Box 415 7777 Hwy 43 North Mc Intosh AL 36553-0415 Ph: (251) 944-2842 | Southwest Alabama Health Services 7777 Highway 43 North Mcintosh AL 36553-0415 Ph: (251) 944-2842 |
| NPI Number | 1023068459 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 04/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023068459 | NPI | - | NPPES |
| 630002015 | Medicaid | AL | |
| 01DO692409 | Other | AL | CLIA |
| 630000015 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PHL L6503 (Alabama) | Primary |