Organization
MOBILE COUNTY BOARD OF HEALTH
Active
Other names
Mobile Medical Van
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WARREN (EXECUTIVE DIRECTOR)
(251) 690-8833
Entity
Organization
Contact information
Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
Mailing address
251 N BAYOU ST, MOBILE, AL 36603-5827
(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
01
—
1063439065
NPI GROUP PAYEE NUMBER
AL
05
—
630008013
—
AL
Enumeration date
05/07/2007
Last updated
02/01/2021
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