UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION (NPI# 1720149727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720149727 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION |
Other Organization Name | USAHSF PATHOLOGY |
Practice Address |
2451 Fillingim St Mastin 617 Mobile AL 36617-2238 |
Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
Practice Telephone | 2514705842 |
Practice Fax Number | 2514705809 |
Mailing Telephone | 2514705842 |
Mailing Fax Number | 2514705809 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BECKY S. TATE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2514705842 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09013350 | 05 |
Other Name | Type Code |
---|---|
USAHSF Pathology | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477931822 | University of South Alabama Health Services Foundation | Clinic/Center | 1707 Center Street, Suite 102, Mobile, AL 36604-3305 | 2015-05-18 |
1821159708 | University of South Alabama Health Services Foundation | Clinic/Center | 5795 Usa Dr N, Csab 170, Mobile, AL 36688-0001 | 2006-12-13 |
1891008330 | University of South Alabama Health Services Foundation | Durable Medical Equipment & Medical Supplies | 3421 Medical Park Dr, 2 Medical Park, Rm 160, Mobile, AL 36693-3330 | 2010-07-26 |
1568523447 | University of South Alabama Health Services Foundation | Clinic/Center | 3301 Knollwood Dr, Med Pk 4, Mobile, AL 36693-7003 | 2006-12-13 |
1477614352 | University of South Alabama Health Services Foundation | Clinic/Center | 1720 Center St, Suite 101, Mobile, AL 36604-3304 | 2006-12-13 |
1386705267 | University of South Alabama Health Services Foundation | Clinic/Center | 3421 Medical Park Dr, Med Pk 2, Mobile, AL 36693-3330 | 2006-12-13 |
1003977984 | University of South Alabama Health Services Foundation | Clinic/Center | 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604-0130 | 2006-12-13 |
1912068891 | University of South Alabama Health Services Foundation | Clinic/Center | 1504 Spring Hill Ave, Mobile, AL 36604-3207 | 2006-12-13 |
1730240615 | University of South Alabama Health Services Foundation | Clinic/Center | 2451 Fillingim St, Mobile, AL 36617-2238 | 2006-12-13 |
1952462822 | University of South Alabama Health Services Foundation | Clinic/Center | 1504 Spring Hill Ave, Ste 1800, Mobile, AL 36604-3207 | 2006-12-13 |
Street Address |
2451 FILLINGIM ST MASTIN 617 |
City | MOBILE |
State | AL |
Zip Code | 36617-2238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225036312 | Roy E Gandy | Surgery | 2451 Fillingim St, Mastin 101, Mobile, AL 36617-2238 | 2005-07-12 |
1629635818 | Usa Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2019-05-22 |
1629575865 | Onesmus Kiprotich Too | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-04-12 |
1851894943 | Christine Choquette | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-03-14 |
1942720834 | Erin B Cunningham | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2017-06-22 |
1720511017 | Richard Ross Rieske | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Mstn 315, Mobile, AL 36617-2238 | 2017-04-04 |
1588196935 | Anam Iftikhar Chouhdry | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
1417489063 | Joseph Arnell Jones Iv | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
1912439670 | Ryan Mikel Burdette Kiser | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, 10-f, Mobile, AL 36617-2238 | 2017-03-31 |
1497287353 | Fares Hujier | Internal Medicine | 2451 Fillingim St, Resident Box 7th Floor, Mobile, AL 36617 | 2017-03-30 |
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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 | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477931822 | University of South Alabama Health Services Foundation | Clinic/Center | 1707 Center Street, Suite 102, Mobile, AL 36604-3305 | 2015-05-18 |
1992013593 | University of South Alabama | Clinic/Center | 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 | 2010-09-16 |
1821159708 | University of South Alabama Health Services Foundation | Clinic/Center | 5795 Usa Dr N, Csab 170, Mobile, AL 36688-0001 | 2006-12-13 |
1124528286 | University of South Alabama Health Care Authority | Clinic/Center | 1261 Hillcrest Rd, Mobile, AL 36695 | 2018-02-15 |
1568834042 | Saad Enterprises, Inc. | Clinic/Center | 1515 S University Blvd, Mobile, AL 36609-2958 | 2015-10-23 |
1164858122 | Planned Parenthood Southeast | Clinic/Center | 717 Downtowner Loop W, Mobile, AL 36609-5503 | 2013-09-23 |
1487923520 | Hands of Hope Health Care Center | Clinic/Center | 3408 Beltline Park Dr N, Mobile, AL 36617-1539 | 2011-12-19 |
1336466093 | Springhill Physician Practices, Inc. | Clinic/Center | 3715 Dauphin St, Ste 7a, Mobile, AL 36608-1771 | 2010-04-21 |
1023210259 | University of South Alabama Mitchell Cancer Institute | Clinic/Center | 1660 Springhill Ave, Mobile, AL 36604 | 2007-06-01 |
1568523447 | University of South Alabama Health Services Foundation | Clinic/Center | 3301 Knollwood Dr, Med Pk 4, Mobile, AL 36693-7003 | 2006-12-13 |
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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.