Organization
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
Active
Parent organization
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
Other names
Southwest Alabama Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
Authorized official
MR. JAMES A. HOLLAND MPH (CHIEF EXECUTIVE OFFICER)
(251) 824-2174
Entity
Organization
Contact information
Practice address
7777 HIGHWAY 43 NORTH, MCINTOSH, AL 36553-0415
(251) 944-2842
(251) 944-8070
Mailing address
P.O. BOX 415, 7777 HWY 43 NORTH, MC INTOSH, AL 36553-0415
(251) 944-2842
(251) 944-8070
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PHL L6503
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01DO692409
CLIA
AL
05
—
630000015
—
AL
05
—
630002015
—
AL
Enumeration date
05/10/2006
Last updated
04/25/2013
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