Provider Demographics
NPI:1962671537
Name:MOBILE COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:MOBILE COUNTY BOARD OF HEALTH
Other - Org Name:MOBILE COUNTY HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF FAMILY CLINICAL SERIVES
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPH
Authorized Official - Phone:251-690-8833
Mailing Address - Street 1:251 N BAYOU ST
Mailing Address - Street 2:P.O. BOX 2867
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36603-5827
Mailing Address - Country:US
Mailing Address - Phone:251-690-8110
Mailing Address - Fax:251-544-2188
Practice Address - Street 1:248 COX ST STE A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3303
Practice Address - Country:US
Practice Address - Phone:251-690-8930
Practice Address - Fax:251-690-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local