Altapointe Health Systems, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Bayou la Batre, AL
NPI 1972083012 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1972083012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ALTAPOINTE HEALTH SYSTEMS, INC
- Practice address
- 13833 Tapia Ave
Bayou la Batre, AL 36509 - Phone
- (251) 450-2211
- NPI assigned
- Aug 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Jerry Tuerk Schlesinger
- Title
- Ceo
- Phone
- (251) 450-5901
Other NPIs on the same Medicare enrollment 11
Other NPIs with the same Medicare PAC ID 10
Practitioners 99
-
Taiye Oluwaseun Ajayi, CRNP
-
Emily Aldredge, LICSW
-
Beverly Joyce Ales, CRNP
-
Katelyn Violet Barber, LICSW
-
Brittany Letrelle Barnes, M.D.
-
Kathleen Louise Bliler, LICSW
-
Ashley Blount, MA
-
Lucas Boone, MD
-
Dolores Bray, CRNP
-
Bradley Brooks, D.O.
-
Dailey Ann Champion, LPC
-
Lauren Leigh Cherry, PMHNP
-
Mary E Cohen-Colson, M.D.
-
Jennifer Cook, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Federally qualified health center certification: CCN 011049
- Legal name
- ALTAPOINTE HEALTH SYSTEMS INC
- Doing business as
- ACCORDIA HEALTH- BAYOU LA BATRE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 14, 2018
- Last certification
- Nov 14, 2018
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 30, 1976 in AL
- Enrollment address
- 13833 Tapia Ave
Bayou la Batre, AL 36509-2515
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Jerry Tuerk Schlesinger |
Corporate Officer |
May 18, 1998 | |
| Operational/Managerial Control |
May 18, 1998 | ||
| Alicia Donoghue |
Corporate Officer |
Feb 5, 2024 | |
| Operational/Managerial Control |
Feb 5, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000701 | AL | Part B Supplier - Clinic/Group Practice | 1052224052 |
Receives reassigned benefits from 214 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mobile, AL; Roanoke, AL; Robertsdale, AL; Rockford, AL; Sylacauga, AL; Talladega, AL; Bay Minette, AL; Bayou la Batre, AL… |
| O20181108002942 | AL | Part a Provider - Federally Qualified Health Center (FQHC) | 1052224052 | Practice locations: Bayou la Batre, AL |
National Provider Directory
Locations
106 W Myrtle Ave
Foley, AL 36535
Phone (251) 286-9990
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
13833 Tapia Ave
Bayou la Batre, AL 36509
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 660-2361
Other names
- Accordia Health
Other providers in Bayou la Batre, AL
- Accordia Health, Inc.
- Anchor Medical Equipment and Supplies, LLC
- Bayou la Batre Area Health Development BD.Inc.
- Bayouclinic, Inc.
- Regina M Benjamin
- Raymond NMN Broughton
All providers in Bayou la Batre, 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 Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.