Provider Information for 1750659447
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MOBILE INFIRMARY ASSOCIATION
Other Names:Doing Business As:MIMC RX4UFormer Legal Business Name:GULF HEALTH MANAGEMENT SERVICES, INC.Organization Subpart: NO
NPI: 1750659447
Last Updated: 2023-11-21
Certification Date: 2023-11-21
Certification Date: 2023-11-21
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1750659447 | ||||||||||||
Enumeration Date | 2011-12-08 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: DOUGLAS MARK NIX Title: President/CEO Phone: 2514357948 | ||||||||||||
Mailing Address | PO BOX 1468 DAPHNE, AL 36526-1468 United States Phone: 251-435-7948 | Fax:251-435-6514 | ||||||||||||
Primary Practice Address | 1 MOBILE INFIRMARY CIR MOBILE, AL 36607-3522 United States Phone: 251-435-7948 | Fax:251-435-6514 | ||||||||||||
Secondary Practice Address(es) | |||||||||||||
Health Information Exchange |
| ||||||||||||
Other Identifiers |
| ||||||||||||
Taxonomy |
|