Organization
UNIVERSITY OF SOUTH ALABAMA MITCHELL CANCER INSTITUTE
Active
Other names
USA Mitchell Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B BUSH (ASST VP/CHIEF FINANCIAL OFFICER)
(251) 471-7114
Entity
Organization
Contact information
Practice address
1660 SPRINGHILL AVE, MOBILE, AL 36604
(251) 665-8000
(251) 665-8010
Mailing address
PO BOX 40430, MOBILE, AL 36640-0430
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256281
—
MS
05
—
529932818
—
AL
01
—
G332
BCBS COMMON PAY
AL
Enumeration date
06/01/2007
Last updated
11/27/2013
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