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DSH010129 GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY (Active)
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Main Details
Name
GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010129
Medicare Provider Number
010129
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/1/2005
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
North Baldwin Infirmary
Kenny H Breal, President
(251) 648-7673
Primary Contact
Mobile Infirmary
Michelle Wheat, 340B Coordinator
(251) 435-2683
Addresses
Street Address
1815 HAND AVE.
BAY MINETTE, AL 36507
Billing Address
Infirmary Health Systems Inc
PO Box 2226
Mobile, AL 36652
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/23/11 change PC/Ao from Eads to Thompson and Knight JH
12/23/2011
April 2025
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