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1504 Springhill Avenue Suite 1600 Mobile AL 36604-0130 | |
| (251) 434-3915 | |
| (251) 434-3802 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1504 Springhill Avenue, Mobile, Alabama |
| Authorized Official Name and Position | Becky S. Tate (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2514705842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 40480 Mobile AL 36640-0480 Ph: (251) 470-5842 | 1504 Springhill Avenue Suite 1600 Mobile AL 36604-0130 Ph: (251) 434-3915 |
| NPI Number | 1003977984 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 12/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003977984 | NPI | - | NPPES |
| 528300330 | Medicaid | AL | |
| 09013347 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (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 |