Organization
MOBILE COUNTY BOARD OF HEALTH
Active
Other names
Calcedeaver Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN STIEGLER (DIRECTOR FAMILY HEALTH CLINICAL SER)
(251) 690-8833
Entity
Organization
Contact information
Practice address
1080 RESERVATION RD, MOUNT VERNON, AL 36560
(251) 829-9884
(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
—
630000013
—
AL
Enumeration date
10/04/2006
Last updated
07/17/2008
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