Healthcare Provider Details
I. General information
NPI: 1518095413
Provider Name (Legal Business Name): ALTAPOINTE HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2007
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2400 GORDON SMITH DR
MOBILE AL
36617-2319
US
IV. Provider business mailing address
5750A SOUTHLAND DR
MOBILE AL
36693-3316
US
V. Phone/Fax
- Phone: 251-473-4423
- Fax: 251-662-7297
- Phone: 251-450-5901
- Fax: 251-662-7297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JERRY
TUERK
SCHLESINGER
Title or Position: CEO
Credential:
Phone: 251-450-5901