NPIMap

Organization Active NPI

Bayou la Batre Area Health Development Board, Inc.

Doing business as Southwest Alabama Health Services

  • Clinic/Center
  • McIntosh, AL
National Provider Identifier
1023068459
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PHL L6503 Issued in AL
Legal business name
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
Doing business as
Southwest Alabama Health Services
Practice address
7777 Highway 43 North
McIntosh, AL 36553-0415
Phone
(251) 944-2842
Fax
(251) 944-8070
NPI assigned
May 10, 2006
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James A. Holland, MPH
Title
Chief Executive Officer
Phone
(251) 824-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PHL L6503 AL Primary

Addresses

Primary practice location

7777 Highway 43 North
McIntosh, AL 36553-0415

Mailing address

P.O. Box 415
7777 Hwy 43 North
MC Intosh, AL 36553-0415
Phone (251) 944-2842

Other names 1

  • Southwest Alabama Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0692409Southwest Alabama Health Services7777 Highway 43 North, McIntosh, AL 36553ComplianceDec 10, 2027

National Provider Directory

National Provider Directory
Part of
Mostellar Medical Cente

Locations

12701 Padgett Switch Rd
Bldg 1
Irvington, AL 36544

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1023068459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 415",
            "address_2": "7777 HWY 43 NORTH",
            "city": "MC INTOSH",
            "state": "AL",
            "postal_code": "365530415",
            "telephone_number": "251-944-2842",
            "fax_number": "251-944-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HIGHWAY 43 NORTH",
            "city": "MCINTOSH",
            "state": "AL",
            "postal_code": "365530415",
            "telephone_number": "251-944-2842",
            "fax_number": "251-944-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "251-824-2174",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "PHL L6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Alabama Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McIntosh, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.