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MOBILE COUNTY BOARD OF HEALTH NPI 1639474778


NPI Information

NPI: 1639474778
Provider Name: MOBILE COUNTY BOARD OF HEALTH

Other Name: NORTH MOBILE HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
950 EAST COY SMITH HWY
MOUNT VERNON, AL
ZIP 36560
Phone: (251) 829-9884
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MOBILE COUNTY BOARD OF HEALTH is a federally qualified health center (fqhc) clinic center in Mount Vernon, AL. MOBILE COUNTY BOARD OF HEALTH NPI is 1639474778. The provider is registered as an organization entity type.
The provider Other Name Is North Mobile Health Center.

The provider's business location address is:

950 EAST COY SMITH HWY
MOUNT VERNON, AL
ZIP 36560-201
Phone: (251) 829-9884
Fax: (251) 829-9507

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 1/21/2011 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)Yes

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
1126108MEDICAIDALABAMA

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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