| |
2451 Fillingim St Mastin Bldg. 101 Mobile AL 36617-2238 | |
(251) 445-8282 | |
(251) 445-8281 |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2451 Fillingim St, 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 |
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Po Box 40480 Mobile AL 36640-0480 Ph: (251) 470-5842 | 2451 Fillingim St Mastin Bldg. 101 Mobile AL 36617-2238 Ph: (251) 445-8282 |
NPI Number | 1619038593 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 12/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619038593 | NPI | - | NPPES |
528200940 | Medicaid | AL | |
09013313 | 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 |