Baldwin County Mental Health Center, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Fairhope, AL

NPI 1962540922 · NPPES record last updated Mar 23, 2010

Key facts

NPI
1962540922
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
BALDWIN COUNTY MENTAL HEALTH CENTER, INC.
Practice address
372 S Greeno Rd
Fairhope, AL 36532-1916
Phone
(251) 928-2871
Fax
(251) 928-0126
NPI assigned
Feb 2, 2007
Organization subpart
No

Authorized official

Name
Mr. Sidney Vincent Arbour III
Title
Assoc Dir of Tech Services
Phone
(251) 990-4203

Practitioners 10

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

National Provider Directory

Locations

2009 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 937-2010

301 E 3rd St
Bay Minette, AL 36507
Phone (251) 928-2871

200 E Fig Ave
Foley, AL 36535
Phone (251) 928-2871

400 E Laurel Ave
Foley, AL 36535
Phone (251) 943-6646

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AL
Community/Behavioral Health Agency 251S00000X AL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AL Yes
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X AL

Addresses

Primary practice location

372 S Greeno Rd
Fairhope, AL 36532-1916

Mailing address

372 S Greeno Rd
Fairhope, AL 36532-1916
Phone (251) 928-2871

Other identifiers

IdentifierTypeStateIssuer
051008122OtherALBCBS ALABAMA
330000003MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2010.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1962540922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 S GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321916",
            "telephone_number": "251-928-2871",
            "fax_number": "251-928-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 S GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321916",
            "telephone_number": "251-928-2871",
            "fax_number": "251-928-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN COUNTY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "ARBOUR",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "ASSOC DIR OF TECH SERVICES",
        "authorized_official_telephone_number": "251-990-4203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "051008122",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

All providers in Fairhope, AL · Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

Sources for this page

Verify at the official NPI Registry.