MOBILE COUNTY BOARD OF HEALTH (NPI# 1053406280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053406280 |
| Entity Type | Organization |
| Organization Name | MOBILE COUNTY BOARD OF HEALTH |
| Other Organization Name | CITRONELLE CLINIC |
| Practice Address |
19250 N Mobile St Citronelle AL 36522-2122 |
| Mailing Address |
Po Box 2867 Mobile AL 36652-2867 |
| Practice Telephone | 2518669129 |
| Practice Fax Number | 2518669121 |
| Mailing Telephone | 2516908158 |
| Mailing Fax Number | 2516908853 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | MRS. SUSAN STIEGLER (DIRECTOR FAMILY HEALTH CLINICAL SER) |
| Authorized Official Telephone | 2516908833 |
| Authorized Official Credential | RN, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630000013 | 05 |
| Other Name | Type Code |
|---|---|
| Citronelle Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164846283 | Mobile County Board of Health | Clinic/Center | 2601 Dauphin Island Pkwy, Dauphin Island Parkway Health Center, Mobile, AL 36605-3408 | 2014-02-10 |
| 1649523432 | Mobile County Board of Health | Clinic/Center | 5580 Inn Road, Mobile, AL 36619-1851 | 2012-10-18 |
| 1740543669 | Mobile County Board of Health | Clinic/Center | 312 Courthouse Sq, Bay Minette, AL 36507-4809 | 2012-06-18 |
| 1639474778 | Mobile County Board of Health | Clinic/Center | 950 East Coy Smith Hwy, Mount Vernon, AL 36560-3201 | 2011-01-21 |
| 1962671537 | Mobile County Board of Health | Clinic/Center | 248 Cox St Ste A, Mobile, AL 36604-3303 | 2008-02-27 |
| 1154443430 | Mobile County Board of Health | Clinic/Center | 19180 Shepherd Lake Rd, Mt. Vernon, AL 36560-9507 | 2007-04-06 |
| 1972698199 | Mobile County Board of Health | Clinic/Center | 1080 Reservation Rd, Mount Vernon, AL 36560 | 2006-10-04 |
| 1083709521 | Mobile County Board of Health | Clinic/Center | 4009 Saint Stephens Rd, Mobile, AL 36612-1231 | 2006-10-03 |
| 1164446753 | Mobile County Board of Health | Clinic/Center | 800 Whitley St, Mobile, AL 36610-3318 | 2006-07-27 |
| 1073032488 | Mobile County Board of Health | Dentist | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-09-18 |
| Street Address |
19250 N MOBILE ST |
| City | CITRONELLE |
| State | AL |
| Zip Code | 36522-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699194522 | Charles Seth Davis | Nurse Practitioner | 19250 N Mobile St, Citronelle, AL 36522-2122 | 2014-04-08 |
| 1992129860 | Nancy Ursprung | Nurse Practitioner | 19250 N Mobile St, Citronelle, AL 36522-2122 | 2014-02-12 |
| 1780810622 | Latanja Shanta Batain | Nurse Practitioner | 19250 N Mobile St, Citronelle, AL 36522-2122 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871622555 | Citronelle Drug Co Inc | Durable Medical Equipment & Medical Supplies | 19240 Mobile St, Citronelle, AL 36522 | 2007-03-05 |
| 1306974704 | Edmond Charles Henson | Family Medicine | 19280 Howard Ave, Citronelle, AL 36522-2016 | 2007-02-28 |
| 1790743961 | Amedisys Home Health of Alabama, LLC | Home Health | 19375 N 3rd St, Suite 101, Citronelle, AL 36522-2044 | 2006-05-03 |
| 1164794343 | Gmuc of Citronelle LLC | Family Medicine | 19355 N 3rd St, Suite 104, Citronelle, AL 36522-2049 | 2012-02-02 |
| 1437141355 | Delta Health Group Inc | Skilled Nursing Facility | 19225 N 4th St, Citronelle, AL 36522-2051 | 2005-08-17 |
| 1730530130 | Crowne Health Care of Citronelle, LLC | Skilled Nursing Facility | 19225 N 4th St, Citronelle, AL 36522-2051 | 2016-06-27 |
| 1033379854 | Al Citronelle LLC | Skilled Nursing Facility | 19225 N 4th St, Citronelle, AL 36522-2051 | 2008-06-16 |
| 1457383481 | Freds Stores of Tennessee Inc | Pharmacy | 19580 N 3rd St, Citronelle, AL 36522-2082 | 2006-07-07 |
| 1114972130 | Michael Clay Garver | Dentist | 19260 N Mobile St, Citronelle, AL 36522-2122 | 2006-05-25 |
| 1578919890 | Mobile County Board of Health | Clinic/Center | 19260 N Mobile St, Citronelle, AL 36522-2122 | 2016-05-05 |
| Find all providers in zip 36522 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837311 | Altapointe Health Systems, Inc. | Clinic/Center | 2419 Gordon Smith Dr, Mobile, AL 36617-2318 | 2020-09-30 |
| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1205460268 | The Capstone Rural Health Center | Clinic/Center | 714 12th St W, Jasper, AL 35501-4519 | 2020-02-28 |
| 1184284986 | Health Services, Inc. | Clinic/Center | 1151 Air Base Blvd Ofc, Montgomery, AL 36108-3103 | 2019-06-14 |
| 1982172367 | Health Services, Inc | Clinic/Center | 3350 S Court St, Montgomery, AL 36105-1606 | 2018-11-05 |
| 1932627858 | Whatley Health Services, Inc. | Clinic/Center | 417 3rd St Se, Aliceville, AL 35442 | 2017-08-30 |
| 1780123372 | Quality of Life Health Services, Inc | Clinic/Center | 404 9th Ave Sw, Lafayette, AL 36862-2806 | 2017-02-16 |
| 1487104691 | Whatley Health Services Inc | Clinic/Center | 142 School Street, Oakman, AL 35579 | 2016-10-12 |
| 1831568237 | Quality of Life Health Services, Inc | Clinic/Center | 1502 11th Ave, Phenix City, AL 36867-4905 | 2015-09-16 |
| 1477939031 | Whatley Health Services, Inc. | Clinic/Center | 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 | 2015-08-06 |
| Find all providers with the same taxonomy | ||||
| City | CITRONELLE |
| Zip Code | 36522 |
Please comment or provide details below to improve the information on MOBILE COUNTY BOARD OF HEALTH.
| 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.