NPIMap

Organization Active NPI

Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
National Provider Identifier
1124042718
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOBILE COUNTY BOARD OF HEALTH
Practice address
248 Cox St Ste a
Mobile, AL 36604-3303
Phone
(251) 405-4525
Fax
(251) 432-7443
NPI assigned
Jul 27, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kelly Warren
Title
Executive Director
Phone
(251) 690-8158

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20180913000728 AL Part B Supplier - Clinic/Group Practice 9931208386 Receives reassigned benefits from 32 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mobile, AL; Semmes, AL; Mount Vernon, AL; Citronelle, AL; Bay Minette, AL

National Provider Directory

National Provider Directory
Tax ID family
Mobile County Board of Health (33 organizations share this tax ID)

Locations

248 Cox St
Mobile, AL 36604
Phone (251) 405-4525

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

248 Cox St Ste a
Mobile, AL 36604-3303

Mailing address

PO Box 2867
Mobile, AL 36652-2867
Phone (251) 690-8158

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
630007013MedicaidAL

Other names 1

NPPES NPI Registry
  • Women's and Children's Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2021.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1124042718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2867",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522867",
            "telephone_number": "251-690-8158",
            "fax_number": "251-690-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 COX ST STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043303",
            "telephone_number": "251-405-4525",
            "fax_number": "251-432-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-690-8158"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630007013",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's and Children's Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's and Children's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.