MEDICARE: USA HEALTHCARE MORGAN 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	10632	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	010658	OTHER	AL	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1568468833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA HEALTHCARE MORGAN LLC

Provider Business Mailing Address
First Line	:	PO BOX 1821
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35602-1821
Country	:	US
Telephone Number	:	256-340-5745
Fax Number	:	256-340-1281

Provider Business Practice Location Address
First Line	:	2326 MORGAN AVE SW
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-6244
Country	:	US
Telephone Number	:	256-340-5745
Fax Number	:	256-340-1281

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	GREGORY SCOTT HAYES
Credential	:
Telephone Number	:	256-340-5745

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/15/2022

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