Bayou la Batre Area Health Development Board, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Irvington, AL
NPI 1275729246 · NPPES record last updated Dec 6, 2025
Key facts
- NPI
- 1275729246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- N/A (AL)
- Legal business name
- BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC.
- Practice address
- 12701 Padgett Switch Rd
Irvington, AL 36544-4011 - Phone
- (251) 824-2174
- Fax
- (251) 824-3444
- NPI assigned
- Sep 24, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- MOSTELLAR MEDICAL CENTER
Authorized official
- Name
- Mr. James A. Holland, MHA
- Title
- Chief Executive Officer
- Phone
- (251) 824-2174
Corporate family (same tax ID) 3
Practitioners 1
National Provider Directory
- Tax ID family
- Midtown Mostellar Med CLN
- Part of
- Midtown Mostellar Med CLN
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | N/A | AL | Yes |
Addresses
Primary practice location
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Mailing address
PO Box 769
Bayou la Batre, AL 36509-0769
Phone (251) 824-2174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009998450 | Medicaid | AL |
Other names
- Durable Medical Equipment Division
Other providers in Irvington, AL
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- Susan Jones Ashbee
- Savannah M Ashley
- Kosi James Avotri
- Carla Ann Baxley
- Bayou la Batre Area Health Development Board, Inc.
- Bayou la Batre Area Health Development Board, Inc.
- Bayou la Batre Area Health Development Board, Inc.
- Bayou Pharmacy LLC
- Makayla Brewer
All providers in Irvington, AL · Federally Qualified Health Center (FQHC) in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.