| Bayou La Batre Rural Health Clinic | |
|
13833 Tapia Ave Bayou La Batre AL 36509-2515 | |
| (251) 824-4985 | |
| (251) 824-4990 |
| Full Name | Bayou La Batre Rural Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 13833 Tapia Ave, Bayou La Batre, Alabama |
| Authorized Official Name and Position | Julie H Taylor (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2518244985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou La Batre Rural Health Clinic 13220 N Wintzell Ave Bayou La Batre AL 36509-2142 Ph: (251) 824-4985 | Bayou La Batre Rural Health Clinic 13833 Tapia Ave Bayou La Batre AL 36509-2515 Ph: (251) 824-4985 |
| NPI Number | 1114996865 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 10/14/2022 |
| Medicare PECOS PAC ID | 0345159257 |
|---|---|
| Medicare Enrollment ID | O20060406000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114996865 | NPI | - | NPPES |
| 529932897 | Medicaid | AL | |
| 541003845 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Alabama) | Primary |
| Provider Name | Regina M Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033188339 PECOS PAC ID: 2163331075 Enrollment ID: I20090710000229 |
| Provider Name | Juanita C Villasis-lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427157254 PECOS PAC ID: 0840329207 Enrollment ID: I20100522000069 |
Accordia Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509 Phone: 251-824-8320 Fax: 251-517-8292 | |
Altapointe Billing Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509 Phone: 251-824-8320 Fax: 251-662-7297 | |
Accordia Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509 Phone: 251-450-2211 |