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BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD INC. NPI 1023068459


NPI Information

NPI: 1023068459
Provider Name: BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.

Doing Business As: SOUTHWEST ALABAMA HEALTH SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 01D0692409

Address:
7777 HIGHWAY 43 NORTH
MCINTOSH, AL
ZIP 36553
Phone: (251) 944-2842
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BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. is a clinic center in Mcintosh, AL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. NPI is 1023068459. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Alabama Health Services.

The provider's business location address is:

7777 HIGHWAY 43 NORTH
MCINTOSH, AL
ZIP 36553-415
Phone: (251) 944-2842
Fax: (251) 944-8070

The provider's authorized official is James A. Holland .
The authorized official title is Chief Executive Officer and has the following contact phone number (251) 824-2174.

The CLIA number assigned to this NPI record is 01D0692409 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 4/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterPHL L6503ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WMDP1215MEDICARE UPINALABAMA
2630002015MEDICAIDALABAMA
301-1833MEDICARE PINALABAMA
4630000015MEDICAIDALABAMA
5E325MEDICARE PINALABAMA
6011832MEDICARE OSCAR/CERTIFICATIONALABAMA
701DO692409OTHERALABAMACLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.