Provider Demographics
NPI:1518095413
Name:ALTAPOINTE HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:ALTAPOINTE HEALTH SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:TUERK
Authorized Official - Last Name:SCHLESINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-450-5901
Mailing Address - Street 1:5750A SOUTHLAND DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3316
Mailing Address - Country:US
Mailing Address - Phone:251-450-5901
Mailing Address - Fax:251-662-7297
Practice Address - Street 1:2400 GORDON SMITH DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2319
Practice Address - Country:US
Practice Address - Phone:251-473-4423
Practice Address - Fax:251-662-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330000016Medicaid
AL591700047Medicaid
AL330034016Medicaid
AL590000016Medicaid
AL330000016Medicaid
ALJ408Medicare ID - Type UnspecifiedGRP# BAYPOINTE
ALJ411Medicare ID - Type UnspecifiedGRP# 1812 DIXIE YOUTH
ALJ438Medicare ID - Type UnspecifiedGRP# 2400 GORDON SMITH
ALJ410Medicare ID - Type UnspecifiedGRP# 4211 GOV'T
ALJ406Medicare ID - Type UnspecifiedGRP# 630 ZEIGLER
ALJ407Medicare ID - Type UnspecifiedGRP# 1111 MONTLIMAR
AL591700047Medicaid
AL330034016Medicaid