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CH044700 Bayou La Batre Area Health Development Board, Inc (Active)
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Main Details
Name
Bayou La Batre Area Health Development Board, Inc
Subdivision Name
MOSTELLAR MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004489
340B ID
CH044700
Grant Number
H80CS00098
Additional Details
Current Program Status
Active
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
7/1/2001
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Bayou La Batre Area Health Development Board, Inc.
JAMES A. HOLLAND, CEO
(251) 824-2174 Ext: 5229
Primary Contact
Bayou La Batre Area Health Development Board Inc.
Todd Stork, COO
(251) 824-2174 Ext: 5275
Addresses
Street Address
12701 PADGETT SWITCH ROAD
IRVINGTON, AL 36544-4011
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/12/14 corrected site ID to the EHB record for the service delivery site (from the Admin-only EHB site) and updated the corresponding address fields
11/12/2014
April 2025
April 2025
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