Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY S. TATE (CHIEF EXECUTIVE OFFICER)
(251) 470-5842
Entity
Organization
Contact information
Practice address
3421 MEDICAL PARK DR, TWO MEDICAL PARK, MOBILE, AL 36693-3330
(251) 665-8200
(251) 660-8210
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942310
—
AL
01
—
51534549
BCBS
AL
Enumeration date
10/24/2006
Last updated
11/27/2013
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