Organization
UNIVERSITY OF SOUTH ALABAMA MITCHELL CANCER INSTITUTE
Active
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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