Healthcare Provider Details
I. General information
NPI: 1659098184
Provider Name (Legal Business Name): ALTAPOINTE HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2022
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6908 PROVIDENCE PARK DR S
MOBILE AL
36695-4600
US
IV. Provider business mailing address
5750A SOUTHLAND DR
MOBILE AL
36693-3316
US
V. Phone/Fax
- Phone: 251-660-3490
- Fax:
- Phone: 251-450-5916
- Fax: 251-662-7297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JERRY
TUERK
SCHLESINGER
Title or Position: CEO
Credential:
Phone: 251-450-5901