NPIMap

Organization Active NPI

University of South Alabama Mitchell Cancer Institute

  • Multi-Specialty Clinic/Center
  • Mobile, AL
National Provider Identifier
1023210259
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF SOUTH ALABAMA MITCHELL CANCER INSTITUTE
Practice address
1660 Springhill Ave
Mobile, AL 36604
Phone
(251) 665-8000
Fax
(251) 665-8010
NPI assigned
Jun 1, 2007
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William B Bush
Title
Asst VP/Chief Financial Officer
Phone
(251) 471-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1660 Springhill Ave
Mobile, AL 36604

Mailing address

PO Box 40430
Mobile, AL 36640-0430
Phone (251) 470-5842

Other names 1

  • USA Mitchell Cancer Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000773 AL Part B Supplier - Clinic/Group Practice 3072425149 Receives reassigned benefits from 418 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mobile, AL; Monroeville, AL; Fairhope, AL; Jackson, AL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1030594USA Mitchell Cancer Institute Oncology1660 Springhill Avenue, Mobile, AL 36604AccreditationJun 21, 2028

National Provider Directory

National Provider Directory

Locations

1504 Spring Hill Ave
Fl 4
Mobile, AL 36604

1504 Spring Hill Ave
Ste 4301
Mobile, AL 36604

1601 Center St
Ste 3
Mobile, AL 36604

1610 Center St
Mobile, AL 36604
Phone (251) 415-1670

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

75 S University Blvd
Ste 6000A
Mobile, AL 36608
Phone (251) 660-5787

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1023210259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400430",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SPRINGHILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36604",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA MITCHELL CANCER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ASST VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "251-471-7114"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Mitchell Cancer Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.