Healthcare Provider Details

I. General information

NPI: 1124967690
Provider Name (Legal Business Name): MOBILE INFIRMARY ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 SPRING HILL AVE STE 401
MOBILE AL
36604-1410
US

IV. Provider business mailing address

PO BOX 2144
MOBILE AL
36652-2144
US

V. Phone/Fax

Practice location:
  • Phone: 251-210-3250
  • Fax: 251-210-3251
Mailing address:
  • Phone: 251-210-3250
  • Fax: 251-210-3251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RANDY W REDFOOT
Title or Position: DIRECTOR
Credential:
Phone: 251-435-2290