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Organization

MOBILE COUNTY BOARD OF HEALTH

Active
Other names
Family Oriented Primary Health Care Clinic Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELIA DENIESE LEWIS (CEO, EXECUTIVE DIRECTOR)
(251) 690-8158
Entity
Organization

Contact information

Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
(251) 690-8859
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
(251) 690-8859

Taxonomy

Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227713000
AL
Enumeration date
02/27/2008
Last updated
04/30/2019
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