Mobile County Board Of Health in Citronelle - Federally Qualified Health Center (fqhc)
Mobile County Board Of Health - NPI 1053406280
Mobile County Board Of Health is a Federally Qualified Health Center (fqhc) in Citronelle, Alabama. Mobile County Board Of Health practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mobile County Board Of Health is 1053406280. The last update date is 2021-04-29.
Mobile County Board Of Health's current location address is 19250 N Mobile St, Citronelle, Alabama. You can contact this provider via phone number 2518669129 and fax number 2518669121. The mailing address for Mobile County Board Of Health is 19250 N Mobile St, Citronelle, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mobile County Board Of Health |
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Address | 19250 N Mobile St, Citronelle, Alabama |
Phone Number | 2518669129 |
Fax Number | 2518669121 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Warren Kelly |
Telephone Number | 2516908158 |
NPI Number Detail
NPI Number | 1053406280 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2021-04-29 |
Provider Mailing Address Detail
Address | 19250 N Mobile St |
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City | Citronelle |
State | Alabama (AL) |
Post Code | 365222122 |
Phone Number | 2518669129 |
Fax Number | 2518669121 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
630001013 | AL | -- |
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What is the unique identifier code issued to Mobile County Board Of Health by the Centers for Medicare & Medicaid Services (CMS)?
The Mobile County Board Of Health has been assigned the NPI (National Provider Identifier) 1053406280. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mobile County Board Of Health?
The Mobile County Board Of Health is physically situated at 19250 N Mobile St, in the city of Citronelle, state of AL, with the postal code 365222122.
What is Mobile County Board Of Health's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mobile County Board Of Health is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053406280 to Mobile County Board Of Health?
The Centers for Medicare & Medicaid Services originally issued the 1053406280 to Mobile County Board Of Health on 2006-10-04.
As of what date were the Mobile County Board Of Health's details last updated?
The information pertaining to the Mobile County Board Of Health, including its address, specialty, and other details, was most recently updated on 2021-04-29.
NPI Number: 1356344279
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