Organization
MOBILE COUNTY BOARD OF HEALTH
Active
Other names
Citronelle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WARREN (EXECUTIVE DIRECTOR)
(251) 690-8158
Entity
Organization
Contact information
Practice address
19250 N MOBILE ST, CITRONELLE, AL 36522-2122
(251) 866-9129
(251) 866-9121
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
(251) 690-8853
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630001013
—
AL
Enumeration date
10/04/2006
Last updated
04/29/2021
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