BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. (NPI# 1548456510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548456510 |
| Entity Type | Organization |
| Organization Name | BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. |
| Other Organization Name | DISTRIBUTION OF CONTRACEPTIVES DIVISION |
| Practice Address |
12701 Padgett Switch Rd Irvington AL 36544-4011 |
| Mailing Address |
Po Box 769 Bayou La Batre AL 36509-0769 |
| Practice Telephone | 2518242174 |
| Practice Fax Number | 2518243444 |
| Mailing Telephone | 2518242174 |
| Mailing Fax Number | 2518243444 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | MR. JAMES A. HOLLAND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2518242174 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | MOSTELLAR MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
N/A | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Distribution of Contraceptives Division | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023068459 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 7777 Highway 43 North, Mcintosh, AL 36553-0415 | 2006-05-10 |
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1275729246 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2007-09-24 |
| 1811183882 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2007-09-24 |
| Street Address |
12701 PADGETT SWITCH RD |
| City | IRVINGTON |
| State | AL |
| Zip Code | 36544-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1396360103 | Melissa Sprinkle | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2020-06-08 |
| 1427671528 | Catherine Thompson | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544 | 2020-05-22 |
| 1275090300 | Michael A Pickert | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2019-02-25 |
| 1235613456 | Traci Leavines | Registered Nurse | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2018-09-24 |
| 1972081818 | Lisa Weber | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2018-08-02 |
| 1558871046 | James Raymond Chinners | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2017-10-10 |
| 1003363201 | Shelley Charmaine Day | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2016-09-06 |
| 1821495920 | Kendra Marie Jones | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2014-12-04 |
| 1104222983 | Alefyah Taqui | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801937057 | Cheryl Berg Horn | Speech-Language Pathologist | 9780 Cornelius Rd., Irvington, AL 36544-0675 | 2007-02-09 |
| 1326384306 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-20 |
| 1730425547 | Portable Medical Diagnostics LLC | Physiological Laboratory | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-26 |
| 1376894659 | South Mobile County Home Health Services Inc. | Case Management | 9161 Saint Elmo Cir S, Irvington, AL 36544-2921 | 2012-09-26 |
| 1740333236 | House of Philadelphia, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8571 Three Mile Rd, Irvington, AL 36544-3301 | 2007-01-19 |
| 1558683409 | South Alabama Leisure Rehabilitation Recreation Center Inc | Day Training, Developmentally Disabled Services | 8571 Three Mile Rd, Lot 4, Irvington, AL 36544-3301 | 2010-02-19 |
| 1902926884 | W.i.n.n.e.r.s., Inc | Substance Abuse Rehabilitation Facility | 8800 Three Mile Rd, Irvington, AL 36544-3334 | 2007-04-02 |
| 1952532566 | Wilsania L. Rodriguez Mendez | Internal Medicine | 12701 Padgett Switch Road, Medicine Dept., Irvington, AL 36544-4011 | 2009-07-30 |
| 1629304183 | Bayou Pharmacy LLC | Pharmacy | 12855 Padgett Switch Rd, Irvington, AL 36544-4015 | 2009-10-19 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1972778413 | Newark Community Health Centers Inc | Clinic/Center | 1148 - 1150 Springfield Avenue, Irvington, NJ 07111-2441 | 2008-04-25 |
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1275729246 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2007-09-24 |
| 1811183882 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2007-09-24 |
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| 1487104691 | Whatley Health Services Inc | Clinic/Center | 142 School Street, Oakman, AL 35579 | 2016-10-12 |
| 1831568237 | Quality of Life Health Services, Inc | Clinic/Center | 1502 11th Ave, Phenix City, AL 36867-4905 | 2015-09-16 |
| 1477939031 | Whatley Health Services, Inc. | Clinic/Center | 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 | 2015-08-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.