Usa Department Of Pediatrics

LBN: University Of South Alabama Health Services Foundation
Usa Department Of Pediatrics is an health care organization with primary practice located at 1504 Springhill Avenue Suite 1600, Mobile AL 36604-0130. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. University Of South Alabama Health Services Foundation can be contacted via phone (251) 434-3915, or through Tate, Becky S. via phone (251) 470-5842.

Contact Information

Primary practice address
1504 Springhill Avenue Suite 1600 Mobile AL 36604-0130
Fax: (251) 434-3802
Website:
Authorized official contact:
Name: Tate, Becky S.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1003977984
LBN Legal business name University Of South Alabama Health Services Foundation
DBA Doing business as Usa Department Of Pediatrics
Authorized official Tate, Becky S.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 6th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003977984 NPPES
Alabama MEDICAID 528300330
Alabama MEDICAID 09013347

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