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MOBILE COUNTY BOARD OF HEALTH NPI 1063439065


NPI Information

NPI: 1063439065
Provider Name: MOBILE COUNTY BOARD OF HEALTH

Doing Business As: FAMILY ORIENTED PRIMARY HEALTH CARE CLINIC, INC.

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
251 N BAYOU ST
MOBILE, AL
ZIP 36603
Phone: (251) 690-8158
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MOBILE COUNTY BOARD OF HEALTH is a federally qualified health center (fqhc) clinic center in Mobile, AL. MOBILE COUNTY BOARD OF HEALTH NPI is 1063439065. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Oriented Primary Health Care Clinic, Inc..

The provider's business location address is:

251 N BAYOU ST
MOBILE, AL
ZIP 36603-827
Phone: (251) 690-8158
Fax: (251) 690-8853

The provider's authorized official is Kelly Warren .
The authorized official title is Executive Director and has the following contact phone number (251) 690-8158.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 4/29/2021.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)ALABAMAYes

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
1630000013MEDICAIDALABAMA

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: 4/28/2024

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