NPIMap

Organization Active NPI

Mobile County Board of Health

  • State or Local Public Health Clinic/Center
  • Mobile, AL
National Provider Identifier
1780864462
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MOBILE COUNTY BOARD OF HEALTH
Practice address
251 N Bayou St
Mobile, AL 36603-5827
Phone
(251) 690-8158
Fax
(251) 544-2188
NPI assigned
Nov 9, 2007
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X AL Primary

Addresses

Primary practice location

251 N Bayou St
Mobile, AL 36603-5827

Mailing address

251 N Bayou St
P.O. Box 2867
Mobile, AL 36603-5827
Phone (251) 690-8158

Other names 1

  • Mobile County Health Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100409000040 AL Part B Supplier - Mass Immunization (Roster Biller Only) 9931208386 Practice locations: Mobile, AL

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mobile County Board of Health33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mobile County Health DepartmentMobile, AL, CCN 011846 Federally qualified health center Operational/Managerial Control Jun 3, 2015
Mobile County Health DepartmentCitronelle, AL, CCN 011856 Federally qualified health center Operational/Managerial Control May 1, 1991
Mobile County Health DepartmentMount Vernon, AL, CCN 011987 Federally qualified health center Operational/Managerial Control Feb 13, 2012
Mobile County Health DepartmentSemmes, AL, CCN 011988 Federally qualified health center Operational/Managerial Control Feb 13, 2012
Mobile County Health DepartmentMobile, AL, CCN 011986 Federally qualified health center Operational/Managerial Control Feb 13, 2012
Mobile County Health DepartmentMobile, AL, CCN 011007 Federally qualified health center Operational/Managerial Control Oct 15, 2012
Mobile County Health DepartmentMobile, AL, CCN 011019 Federally qualified health center Operational/Managerial Control May 1, 1991

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1780864462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N BAYOU ST",
            "address_2": "P.O. BOX 2867",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035827",
            "telephone_number": "251-690-8158",
            "fax_number": "251-544-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N BAYOU ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035827",
            "telephone_number": "251-690-8158",
            "fax_number": "251-544-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "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": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile County Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mobile County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.