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BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD INC. NPI 1396794426


NPI Information

NPI: 1396794426
Provider Name: BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.

Doing Business As: MOSTELLAR MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 01D0692392

Address:
12701 PADGETT SWITCH RD
IRVINGTON, AL
ZIP 36544
Phone: (251) 824-2174
Get Directions

BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. is a federally qualified health center (fqhc) clinic center in Irvington, AL. BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. NPI is 1396794426. The provider is registered as an organization entity type.
The provider Is Doing Business As Mostellar Medical Center.

The provider's business location address is:

12701 PADGETT SWITCH RD
IRVINGTON, AL
ZIP 36544-011
Phone: (251) 824-2174
Fax: (251) 824-3444

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 01D0692392 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 1/21/2016.


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)N/AALABAMAYes

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
14375120001OTHERALABAMAMEDICARE DME
24375120001OTHERALABAMADURABLE MEDICAL EQUIPMENT
3D508MEDICARE PINALABAMA
401DO692392OTHERALABAMACLIA
5WMDP1204MEDICARE UPINALABAMA
61548456510OTHERALABAMADISTRIBUTION OF CONTRACEPTIVES
71811183882OTHERVACCINE FOR CHILDREN
8CN2482OTHERALABAMARAILROAD MEDICARE
9630000015MEDICAIDALABAMA
10011833MEDICARE OSCAR/CERTIFICATIONALABAMA
111396794426OTHERALABAMANPI

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.