1811288038 SOUTH ALABAMA MEDICAL CLINIC, LLC
Rural Health Clinic/Center
Reactivated
Basic Information
- Organization Name
- SOUTH ALABAMA MEDICAL CLINIC, LLC
- Enumeration Date
- April 21, 2011
- Last Update
- August 29, 2024
- Deactivation Date
- July 23, 2024
- Reactivation Date
- July 31, 2024
- Authorized Official
- BRIDGOT PETERS
DIRECTOR
Phone: (251) 445-7618
Practice Location
- Address
- 10075 GRAND BAY WILMER RD S
GRAND BAY, AL 365415003 - Phone
- (251) 865-1852
- Fax
- (251) 865-1854
Mailing Address
- Address
- 10075 GRAND BAY WILMER RD S
GRAND BAY, AL 365415003 - Phone
- (251) 865-1852
- Fax
- (251) 865-1854
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Professional Counselor Professional | 101YP2500X | Counselor | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| General Practice Physician | 208D00000X | General Practice | 1-072232 | AL | No |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | N/A | N/A | No |
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | N/A | AL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140171 | 01 | AL | RURAL HEALTH MEDICAID |
| 129323 | 05 | AL | N/A |
Frequently Asked Questions
What is SOUTH ALABAMA MEDICAL CLINIC, LLC's NPI number?
SOUTH ALABAMA MEDICAL CLINIC, LLC's NPI number is 1811288038.
Which doctor has NPI number 1811288038?
The doctor with NPI number 1811288038 is SOUTH ALABAMA MEDICAL CLINIC, LLC.
What is SOUTH ALABAMA MEDICAL CLINIC, LLC's practice address?
SOUTH ALABAMA MEDICAL CLINIC, LLC's practice address is 10075 GRAND BAY WILMER RD S, GRAND BAY, AL, 365415003.
Which doctor practices at 10075 GRAND BAY WILMER RD S, GRAND BAY, AL, 365415003?
SOUTH ALABAMA MEDICAL CLINIC, LLC practices at 10075 GRAND BAY WILMER RD S, GRAND BAY, AL, 365415003.
What is SOUTH ALABAMA MEDICAL CLINIC, LLC's phone number?
SOUTH ALABAMA MEDICAL CLINIC, LLC's phone number is (251) 865-1852.
Who is (251) 865-1852?
(251) 865-1852 is the phone number for SOUTH ALABAMA MEDICAL CLINIC, LLC.
What is SOUTH ALABAMA MEDICAL CLINIC, LLC's specialty?
SOUTH ALABAMA MEDICAL CLINIC, LLC's specialty is Rural Health Clinic/Center.
What type of doctor is SOUTH ALABAMA MEDICAL CLINIC, LLC?
SOUTH ALABAMA MEDICAL CLINIC, LLC is a Rural Health Clinic/Center.
Is SOUTH ALABAMA MEDICAL CLINIC, LLC a Rural Health?
Yes, SOUTH ALABAMA MEDICAL CLINIC, LLC is a Rural Health.
Is SOUTH ALABAMA MEDICAL CLINIC, LLC still practicing?
Yes, SOUTH ALABAMA MEDICAL CLINIC, LLC has reactivated their practice and is currently practicing.
Is SOUTH ALABAMA MEDICAL CLINIC, LLC accepting new patients?
SOUTH ALABAMA MEDICAL CLINIC, LLC may be accepting new patients. Please call their office at (251) 865-1852 to inquire about availability.
Is NPI 1811288038 still active?
Yes, NPI 1811288038 has been reactivated and is currently active.
Where does SOUTH ALABAMA MEDICAL CLINIC, LLC practice?
SOUTH ALABAMA MEDICAL CLINIC, LLC practices in GRAND BAY, AL.