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
-
William Bogan Brooks III, M.D.
-
Donna Earnshaw, M.D.
-
Susan Stuart McNair, M.S., LPC
-
Clyde Carlos Rouse Jr., M.D.
-
Donna Handy Swearingen, C.R.N.P.
-
Myrna Bobet, M.D.
-
Stephen A Lyrene, MD
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051008122 | Other | AL | BCBS ALABAMA |
| 330000003 | Medicaid | AL |
NPI Registry JSON
{
"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
- Baldwin Co Pulmonary & Sleep Phys
- Baldwin County Cancer Center LLC
- Baldwin County Endodontics, PC
- Baldwin County Eye Institute, PC
- Baldwin County Mental Health Center
- Baldwin County Mental Health Center, Inc. - Allkids Plus
- Baldwin County Transitional Care LLC
- Baldwin Emergency Physicians, P.C..
- Baldwin Health and Rehab LLC
- Baldwin Infectious Disease Specialist LLC
All providers in Fairhope, AL · Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2010. 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.