NPIMap

Organization Active NPI

University of South Alabama

  • Urgent Care Clinic/Center
  • Mobile, AL
National Provider Identifier
1245485267
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Practice address
307 N University Blvd
TRP BLDG 3, Suite 1175
Mobile, AL 36688-3053
Phone
(251) 414-8101
Fax
(251) 414-8227
NPI assigned
Nov 18, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Beverly Kellen
Title
Practice Director
Phone
(251) 460-7681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

307 N University Blvd
TRP BLDG 3, Suite 1175
Mobile, AL 36688-3053

Mailing address

307 N University Blvd
TRP BLDG 3, Suite 1175
Mobile, AL 36688-3053
Phone (251) 414-8101

Other names 1

  • USA Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Univ So Al Knollwood PH53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1245485267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N UNIVERSITY BLVD",
            "address_2": "TRP BLDG 3, SUITE 1175",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366883053",
            "telephone_number": "251-414-8101",
            "fax_number": "251-414-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N UNIVERSITY BLVD",
            "address_2": "TRP BLDG 3, SUITE 1175",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366883053",
            "telephone_number": "251-414-8101",
            "fax_number": "251-414-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KELLEN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "251-460-7681"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Urgent Care",
            "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 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.