Alabama State Sports Medicine

LBN: Alabama State University
Alabama State Sports Medicine is an health care organization with primary practice located at 915 S Jackson St , Montgomery AL 36104-5716. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Alabama State University can be contacted via phone (972) 367-4845, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
915 S Jackson St Montgomery AL 36104-5716
Phone: (972) 367-4845
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 32588 Alabama

Profile Details

NPI number 1205356938
LBN Legal business name Alabama State University
DBA Doing business as Alabama State Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2017
Last updated Jun 23rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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