Jacksonville State University Sports Medicine

LBN: Jacksonville State University
Jacksonville State University Sports Medicine is an health care organization with primary practice located at 700 Pelham Rd N , Jacksonville AL 36265-1602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Jacksonville State University can be contacted via phone (256) 782-5369, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
700 Pelham Rd N Jacksonville AL 36265-1602
Phone: (256) 782-5369
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 207QS0010X 10954 Alabama

Profile Details

NPI number 1548717119
LBN Legal business name Jacksonville State University
DBA Doing business as Jacksonville State University Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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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