UNIVERSITY OF SOUTH ALABAMA (NPI# 1205006723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205006723 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Practice Address |
307 University Blvd N Research Tech Park Building 3/suite 1100 Mobile AL 36688-0002 |
| Mailing Address |
307 University Drive Mobile AL 36688-0002 |
| Practice Telephone | 2514611805 |
| Mailing Telephone | 2514611805 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | ROBERT K. DAVIS (ASSOC VP/CONTRACT OFFICER) |
| Authorized Official Telephone | 2514148297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | ========= | AL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862078 | University of South Alabama | Internal Medicine | 75 S University Blvd Ucom 6000 B, Mobile, AL 36688-0002 | 2016-03-02 |
| 1972963064 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 | 2016-03-02 |
| 1992013593 | University of South Alabama | Clinic/Center | 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 | 2010-09-16 |
| 1689995748 | University of South Alabama | General Acute Care Hospital | 251 Cox St Ste 100, Mobile, AL 36604-3302 | 2010-06-11 |
| 1235290628 | University of South Alabama | Case Management | 1714 Center St, Mobile, AL 36604-3301 | 2006-12-12 |
| 1992746838 | University of South Alabama | Internal Medicine | 5870 Alumni Cir, Mobile, AL 36688-0001 | 2006-06-10 |
| 1972138022 | University of South Alabama | General Acute Care Hospital | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-10 |
| 1760959613 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1205303153 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1295202141 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH ALABAMA | 307 Univeristy Blvd 380 Administration Bldg, Mobile, AL 36688-3053 |
| Street Address |
307 UNIVERSITY BLVD N RESEARCH TECH PARK BUILDING 3/SUITE 1100 |
| City | MOBILE |
| State | AL |
| Zip Code | 36688-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972552750 | Dariusz Adam Skladaniec | Internal Medicine | 307 University Blvd N, Hsb Suite 1200, Mobile, AL 36688-0002 | 2006-05-09 |
| 1548357916 | University of South Alabama Health Services Foundation | Clinical Medical Laboratory | 307 University Blvd N, Cccb Bldg. #214, Mobile, AL 36688-3053 | 2006-10-06 |
| 1457399628 | Patsy A. Kennedy | Nurse Practitioner | 307 University Blvd N, Hsb Suite 1200, Mobile, AL 36688-3053 | 2006-06-02 |
| 1386690766 | Wladimir Wertelecki | Medical Genetics | 307 University Blvd N, Cc/cb 214, Mobile, AL 36688-3053 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1447783766 | Elijah Fox | Student in an Organized Health Care Education/Training Program | 1700 Center St., Cweb 1, Room 1538, Mobile, AL 36688 | 2017-04-04 |
| 1164855805 | Khaled Abdelmagid | Student in an Organized Health Care Education/Training Program | 1700 Center St, Cweb 1, Rm 1538, Mobile, AL 36688 | 2013-08-16 |
| 1154614428 | Karen Marlowe | Pharmacist | 650 Clinic Drive - Suite 2100, Mobile, AL 36688 | 2011-05-19 |
| 1770620239 | Claude Vincent Dwyer IIi | Radiologic Technologist | 307 University, Mobile, AL 36688 | 2007-01-31 |
| 1225661523 | Jacob Rosner | Student in an Organized Health Care Education/Training Program | 5795 Usa Drive North Csab 170, Mobile, AL 36688-0001 | 2020-02-15 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1467014019 | Victoria Suzanne Henbest | Speech-Language Pathologist | 5721 Usa North Drive, Mobile, AL 36688-0001 | 2019-07-03 |
| 1730642513 | Tyler Lee Sturdivant | Clinical Nurse Specialist | 5721 Usa Drive North Hahn 4067, Mobile, AL 36688-0001 | 2019-04-09 |
| 1730648346 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5870 Alumni Drive, Mobile, AL 36688-0001 | 2019-03-14 |
| Find all providers in zip 36688 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718236 | Linda Beck | Home Health | 3205 Lloyds Ln Apt F5, Mobile, AL 36693-3817 | 2020-07-23 |
| 1164045910 | Ellis Touch LLC | Home Health | 758 Stanton Rd, Mobile, AL 36617-2108 | 2020-05-27 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1689214496 | Mittie's Caregivers | Home Health | 2809 Fay Ct, Mobile, AL 36607-2703 | 2020-01-09 |
| 1912547092 | Mlawson Corp | Home Health | 601 Bel Air Blvd Ste 201e, Mobile, AL 36606-3524 | 2020-01-07 |
| 1760944557 | Encompass Health Home Health of Alabama, LLC | Home Health | 6333 Cottage Hill Rd, Mobile, AL 36609-3112 | 2019-04-02 |
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1649745183 | Integrated House Calls, LLC | Home Health | 6866 Reichlieu Dr, Mobile, AL 36608-4407 | 2018-10-11 |
| 1891291431 | Shanterdra Sharda Ginyard | Home Health | 1805 S Mott Dr, Mobile, AL 36617-3325 | 2018-04-03 |
| 1285152157 | Statewide Healthcare Services, Inc | Home Health | 709b Azalea Rd, Mobile, AL 36609-1507 | 2017-08-31 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.