Organization
MOBILE COUNTY BOARD OF HEALTH
Active
Other names
North Baldwin Rural HIV Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WARREN (EXECUTIVE DIRECTOR)
(251) 690-8158
Entity
Organization
Contact information
Practice address
312 COURTHOUSE SQ, BAY MINETTE, AL 36507-4809
(251) 690-8133
(251) 544-2122
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
(855) 634-9302
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141600
—
AL
Enumeration date
06/18/2012
Last updated
04/29/2021
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