CALCEDEAVER CLINIC – NPI #1972698199
Clinic/Center

CALCEDEAVER CLINIC is an AHC clinic located in MOUNT VERNON, AL. NPPES has assigned the NPI number 1972698199 to CALCEDEAVER CLINIC on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CALCEDEAVER CLINIC” is a dba name, the actual legal business name for this organization is MOBILE COUNTY BOARD OF HEALTH. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 18 years ago on Jul 17, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALCEDEAVER CLINIC below.

NPI Profile for
MOBILE COUNTY BOARD OF HEALTH

NPI Number
1972698199
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOBILE COUNTY BOARD OF HEALTH
Doing Business As (dba): CALCEDEAVER CLINIC
Primary location
1080 RESERVATION RD
MOUNT VERNON, AL 36560
Phone: (251) 829-9884 Fax: (251) 866-9121
Mailing address
PO BOX 2867
MOBILE, AL 36652-2867
Phone: (251) 690-8158 Fax: (251) 690-8853
Organization Subpart
No
Authorized Official
SUSAN STIEGLER
DIRECTOR FAMILY HEALTH CLINICAL SER
Phone: (251) 690-8833
Updated
Identifiers

Identifiers for CALCEDEAVER CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAL630000013
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.