UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY (NPI# 1609489178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609489178 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY |
| Practice Address |
524 Stanton Rd Mobile AL 36617-2343 |
| Mailing Address |
6701 Airport Blvd Ste A101 Mobile AL 36608-6767 |
| Practice Telephone | 2514790058 |
| Practice Fax Number | 2514791585 |
| Mailing Telephone | 2513786209 |
| Mailing Fax Number | 2513786222 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | ERICA MADISON (CREDENTIALING) |
| Authorized Official Telephone | 2513786209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| University OB-GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316259 | University of South Alabama Health Care Authority | Internal Medicine | 2503 Old Shell Rd, Mobile, AL 36607-3021 | 2020-11-04 |
| 1851859938 | University of South Alabama Health Care Authority | Pain Medicine | 3290 Dauphin St Ste 204, Mobile, AL 36606-4014 | 2019-03-07 |
| 1639787435 | University of South Alabama Health Care Authority | Family Medicine | 2270 Hillcrest Rd, Mobile, AL 36695-3808 | 2020-07-17 |
| 1346871167 | University of South Alabama Health Care Authority | Internal Medicine | 28260 Us Highway 98, Daphne, AL 36526-7075 | 2020-01-30 |
| 1306486253 | University of South Alabama Health Care Authority | Internal Medicine | 7885 Moffett Rd, Semmes, AL 36575-5487 | 2020-01-08 |
| 1255994141 | University of South Alabama Health Care Authority | Dermatology | 4300 Old Shell Rd Ste B, Mobile, AL 36608-2036 | 2019-04-17 |
| 1417413840 | University of South Alabama Health Care Authority | Urology | 1047 Fairhope Ave, Fairhope, AL 36532-3145 | 2019-02-11 |
| 1174005102 | University of South Alabama Health Care Authority | Specialist | 3290 Dauphin St Ste 301, Mobile, AL 36606-4052 | 2018-09-06 |
| 1386121937 | University of South Alabama Health Care Authority | Internal Medicine | 75 S University Blvd, Mobile, AL 36608-3042 | 2018-07-26 |
| 1124528286 | University of South Alabama Health Care Authority | Clinic/Center | 1261 Hillcrest Rd, Mobile, AL 36695 | 2018-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | University of South Alabama Health Care Authority | 307 University Blvd N Ad 170, Mobile, Al 36688-2, |
| Street Address |
524 STANTON RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376578088 | Jean A Sansaricq | Specialist | 524 Stanton Rd, Mobile, AL 36617-2343 | 2006-07-11 |
| 1780218701 | Naomi S Hatfield | Nurse Practitioner | 524 Stanton Rd, Mobile, AL 36617-2343 | 2020-02-28 |
| 1689141665 | Usa Hca Obgyn Services LLC | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2018-10-29 |
| 1720261266 | Jean A Sansaricq Md PC | Obstetrics & Gynecology | 524 Stanton Rd, Mobile, AL 36617-2343 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629452123 | Prestige Medical LLC | Clinic/Center | 857 Downtowner Blvd Ste G, Mobile, AL 36609-5420 | 2015-07-14 |
| 1720121395 | Extended Family Medical Clinic | Clinic/Center | 108 N Catherine St, Suite A, Mobile, AL 36604-1304 | 2007-02-14 |
| 1821145269 | Springhill Physician Practices, Inc | Clinic/Center | 1000a Cody Rd S, Mobile, AL 36695-3425 | 2007-01-05 |
| 1689141665 | Usa Hca Obgyn Services LLC | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2018-10-29 |
| 1649778259 | Imc-neurosurgery LLC | Clinic/Center | 3 Mobile Infirmary Cir Ste 201a, Mobile, AL 36607-3514 | 2018-01-29 |
| 1447621818 | Derica Parrish | Clinic/Center | 6150 Omni Park Dr, Mobile, AL 36609-5195 | 2015-10-12 |
| 1851612352 | Henry Chiropractic Center Inc | Clinic/Center | 801 Downtowner Blvd, Mobile, AL 36609-5403 | 2010-06-18 |
| 1770739054 | Springhill Physician Practices, Inc. | Clinic/Center | 3715 Dauphin St, Suite 7a, Mobile, AL 36608-1771 | 2008-08-18 |
| 1659562981 | Springhill Center for Womens Health | Clinic/Center | 3715 Dauphin St Ste 7a, Mobile, AL 36608-1775 | 2007-08-01 |
| 1518167220 | Eyston A. Hunte Md Pa | Clinic/Center | 120 N Lafayette St, Mobile, AL 36604-2258 | 2007-07-20 |
| 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.