MEDICARE: USA HEALTHCARE ADAMS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	10655	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010640	OTHER	AL	BCBS PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104822550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA HEALTHCARE ADAMS LLC

Provider Business Mailing Address
First Line	:	1555 HILLABEE ST
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-2346
Country	:	US
Telephone Number	:	256-329-0847
Fax Number	:	256-329-1046

Provider Business Practice Location Address
First Line	:	1555 HILLABEE ST
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-2346
Country	:	US
Telephone Number	:	256-329-0847
Fax Number	:	256-329-1046

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. DEBBIE BARKER
Credential	:
Telephone Number	:	256-329-0847

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	06/09/2014

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Directions to “USA HEALTHCARE ADAMS LLC ” Practice Location

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