# BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
- **Other names:** Southwest Alabama Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023068459
- **Legal business name:** BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
- **Authorized official:** MR. JAMES A. HOLLAND MPH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (251) 824-2174

## Contact information

- **Practice address:** 7777 HIGHWAY 43 NORTH, MCINTOSH, AL 36553-0415
- **Practice address phone:** (251) 944-2842
- **Practice address fax:** (251) 944-8070
- **Mailing address:** P.O. BOX 415, 7777 HWY 43 NORTH, MC INTOSH, AL 36553-0415
- **Mailing address phone:** (251) 944-2842
- **Mailing address fax:** (251) 944-8070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | PHL L6503 | AL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 04/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01DO692409 | CLIA | AL |
| 05 | — | 630000015 | — | AL |
| 05 | — | 630002015 | — | AL |