Provider Demographics
NPI:1952457855
Name:INFIRMARY OCCUPATIONAL HEALTH, PC
Entity Type:Organization
Organization Name:INFIRMARY OCCUPATIONAL HEALTH, PC
Other - Org Name:INDUSTRIAL MEDICAL CLINIC OF MOBILE, AL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ADMIRE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:251-435-4910
Mailing Address - Street 1:PO BOX 322
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36601-0322
Mailing Address - Country:US
Mailing Address - Phone:251-660-7676
Mailing Address - Fax:251-431-5810
Practice Address - Street 1:5320 US HWY 90 WEST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619
Practice Address - Country:US
Practice Address - Phone:251-660-7676
Practice Address - Fax:251-431-5810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMC INDUSTRIAL MEDICAL CLINIC OF MOBILE PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-25
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty