Healthcare Provider Details

I. General information

NPI: 1295408805
Provider Name (Legal Business Name): USA HEALTH - MCI BUSINESS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 07/29/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 SPRING HILL AVE
MOBILE AL
36604-1405
US

IV. Provider business mailing address

PO BOX 40010
MOBILE AL
36640-0010
US

V. Phone/Fax

Practice location:
  • Phone: 251-665-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: GLEN OWEN BAILEY
Title or Position: CEO
Credential:
Phone: 251-471-7118