UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION – NPI #1003977984
Clinic/Center

UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION is an AHC clinic located in MOBILE, AL. NPPES has assigned the NPI number 1003977984 to UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION on December 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION is also known by the name USA DEPARTMENT OF PEDIATRICS. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 13 years ago on Dec 06, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION below.

NPI Profile for
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION

NPI Number
1003977984
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION
Other Name: USA DEPARTMENT OF PEDIATRICS
Primary location
1504 SPRINGHILL AVENUE
SUITE 1600
MOBILE, AL 36604-0130
Phone: (251) 434-3915 Fax: (251) 434-3802
Mailing address
PO BOX 40480
MOBILE, AL 36640-0480
Phone: (251) 470-5842 Fax: (251) 470-5809
Organization Subpart
No
Authorized Official
BECKY TATE
CHIEF EXECUTIVE OFFICER
Phone: (251) 470-5842
Updated
Identifiers

Identifiers for UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAL528300330
MEDICAIDMS09013347
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.