Organization Active NPI

First Light Community of Mobile

  • Community/Behavioral Health Agency
  • Mobile, AL
National Provider Identifier
1285804666
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
008313000 Issued in AL
Legal business name
FIRST LIGHT COMMUNITY OF MOBILE
Practice address
151 S Ann St
Mobile, AL 36604-2302
Phone
(251) 438-2094
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Mr. Martin E. O'Malley
Title
Exective Director
Phone
(251) 438-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 008313000 AL Primary

Addresses

Primary practice location

151 S Ann St
Mobile, AL 36604-2302

Mailing address

151 S Ann St
Mobile, AL 36604-2302
Phone (251) 438-2094

National Provider Directory

National Provider Directory

Locations

151 S Ann St
Mobile, AL 36604
Phone (251) 438-2094

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1285804666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S ANN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042302",
            "telephone_number": "251-438-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S ANN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042302",
            "telephone_number": "251-438-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT COMMUNITY OF MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-438-2094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "008313000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.