Organization
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
Active
Other names
Mostellar Medical Center, Southwest Alabama Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A. HOLLAND MHA (CHIEF EXECUTIVE OFFICER)
(251) 824-2174
Entity
Organization
Contact information
Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
(251) 824-3444
Mailing address
PO BOX 769, BAYOU LA BATRE, AL 36509-0769
(251) 824-2174
(251) 824-3444
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
N/A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01DO692392
CLIA
AL
01
—
1396794426
NPI
AL
01
—
1548456510
DISTRIBUTION OF CONTRACEPTIVES
AL
01
—
1811183882
VACCINE FOR CHILDREN
—
01
—
4375120001
DURABLE MEDICAL EQUIPMENT
AL
05
—
630000015
—
AL
01
—
CN2482
RAILROAD MEDICARE
AL
Enumeration date
05/08/2006
Last updated
04/23/2026
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