University Of South Alabama Health Care Authority
Clinic/Center, Multi-Specialty in Mobile, AL. Organization (NPI-2).
NPI number1124528286
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1124528286
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of South Alabama Health Care Authority
- Organization subpart
- No
- Enumeration date
- Feb 15, 2018
- Certification date
- Mar 17, 2021
- Last updated
- Apr 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Hillcrest Primary Care (Doing Business As)
Practice location
1261 Hillcrest RdMobile, AL 36695
Phone 251-633-8880
Mailing address
3929-1 Airport Blvd5th Floor, Room 513
Mobile, AL 36609
Phone 251-318-2681
Authorized official
Erica Madison
Credentialing
2513182681
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