UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION NPI 1962455881

NPI Information

UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION is a multi-specialty clinic center in Mobile, AL. UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION NPI is 1962455881. The provider is registered as an organization entity type.

The provider's business location address is:

2451 FILLINGIM ST
MASTIN BLDG. 617
MOBILE, AL
ZIP 36617-238
Phone: (251) 470-5842
Fax: (251) 470-5809

The provider's authorized official is Becky S. Tate .
The authorized official title is Chief Executive Officer and has the following contact phone number (251) 470-5842.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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