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1194866905

NPI Code Detail

MEDICARE: SOUTH CENTRAL ALABAMA MENTAL HEALTH BOARD INC

MEDICARE: SOUTH CENTRAL ALABAMA MENTAL HEALTH BOARD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1530342	OTHER	AL	UBH BASIC
2	1530343	OTHER	AL	UBH PLUS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	241762513	OTHER	AL	TRICARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	9392546	OTHER	AL	SHAW
10	051008119	OTHER	AL	BLUE CROSS AND BLUE SHIEL
11	051527456	OTHER	AL	BLUE CROSS ANDBLUE SHIELD
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194866905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH CENTRAL ALABAMA MENTAL HEALTH BOARD INC

Provider Business Mailing Address
First Line	:	19815 BAY BRANCH RD
Second Line	:
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-9234
Country	:	US
Telephone Number	:	334-222-2525
Fax Number	:	334-222-4660

Provider Business Practice Location Address
First Line	:	19815 BAY BRANCH RD
Second Line	:
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-9234
Country	:	US
Telephone Number	:	334-222-2525
Fax Number	:	334-222-4660

Authorized Official
Title or Position	:	HUMAN RESOURCES DIRECTOR
Name	:	MRS. SABRINA L BODDY
Credential	:
Telephone Number	:	334-222-2525

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	09/29/2025

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Directions to “SOUTH CENTRAL ALABAMA MENTAL HEALTH BOARD INC ” Practice Location

Language	Start Address	Practice Location

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