| Organization Name: | MOBILE COUNTY BOARD OF HEALTH |
| NPI Number: | 1154443430 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN STIEGLER (DIRECTOR OF FAMILY HEALTH CLINICAL) |
| Mailing Address: | 19180 Shepherd Lake Rd Mt. Vernon |
| State: | AL US |
| Postal Code: | 365609507 |
| Phone Number: | 2518294881 |
| Fax Number: | 2518294882 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |