BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.; NPI #1194770669

Contact Information

BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.

1340 NORTH WINTZELL AVE.
BAYOU LA BATRE, AL 36509

Phone: 251-824-2347
Fax: 251-824-4337
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.

NPI # 1194770669

LBN Legal business name BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.

Authorized official JAMES HOLLAND - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/23/2006

Last updated 04/20/2008 - About 18 years ago

Identifiers

AL	License #	2006-293
AL	Medicaid	630000015

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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