BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. (NPI# 1023068459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023068459 |
| Entity Type | Organization |
| Organization Name | BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. |
| Other Organization Name | SOUTHWEST ALABAMA HEALTH SERVICES |
| Practice Address |
7777 Highway 43 North Mcintosh AL 36553-0415 |
| Mailing Address |
P.o. Box 415 7777 Hwy 43 North Mc Intosh AL 36553-0415 |
| Practice Telephone | 2519442842 |
| Practice Fax Number | 2519448070 |
| Mailing Telephone | 2519442842 |
| Mailing Fax Number | 2519448070 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | MR. JAMES A. HOLLAND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2518242174 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | PHL L6503 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630000015 | 05 | |
| AL | 630002015 | 05 | |
| AL | CLIA | 01DO692409 | 01 |
| Other Name | Type Code |
|---|---|
| Southwest Alabama Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1275729246 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2007-09-24 |
| 1548456510 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2007-09-24 |
| 1811183882 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2007-09-24 |
| Street Address |
7777 HIGHWAY 43 NORTH |
| City | MCINTOSH |
| State | AL |
| Zip Code | 36553-0415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992194989 | Robbie L. Stringer | Nurse Practitioner | 7777 Highway 43 North, Mcintosh, AL 36553-0415 | 2015-01-14 |
| 1962453852 | Phillip Roger Stover | Pediatrics | 7777 Highway 43 North, Mcintosh, AL 36553 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073878104 | Julia Dennis De La Cruz Pena | Pediatrics | 7777 Hwy 43 N, Mcintosh, AL 36553 | 2012-07-04 |
| 1316113087 | Encore Rehabilitation Inc | Clinic/Center | 7777 Highway 43, Office # 4, Trauma Room, Mcintosh, AL 36553 | 2008-05-02 |
| 1326255803 | Richard Barry Gaston | Nurse Practitioner | 1379 Ciba Rd, Mcintosh, AL 36553 | 2007-05-16 |
| 1093876468 | Rodney Michael Robinson | Dentist | 7508 Hwy 43 South, Mcintosh, AL 36553 | 2006-12-12 |
| 1457412751 | R. Michael Robinson, Dmd, PC | Dentist | 7508 Highway 43 South, Mcintosh, AL 36553 | 2006-12-12 |
| 1437138377 | Mcconaghy Drug Store Inc | Durable Medical Equipment & Medical Supplies | 7771 Hwy 43, Mcintosh, AL 36553 | 2006-01-10 |
| 1457429144 | Mcconaghy Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 61 River Rd, Mcintosh, AL 36553 | 2006-12-01 |
| 1891863577 | Deborah Whisenhunt | Pharmacy Technician | 61 River Rd, Mcintosh, AL 36553 | 2006-12-01 |
| 1548338361 | Elizabeth Rae Johnston | Pharmacy Technician | 61 River Rd, Mcintosh, AL 36553 | 2006-12-01 |
| 1134297120 | Randy Ward Davidson | Pharmacy Technician | 61 River Rd, Mcintosh, AL 36553-0247 | 2006-11-30 |
| Find all providers in zip 36553 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790348308 | Nelly Norris, Mot, Pa | Clinic/Center | 20410 10th Street, Mcintosh, FL 32664 | 2019-04-18 |
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| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.