Provider Demographics
NPI:1104822550
Name:USA HEALTHCARE ADAMS LLC
Entity Type:Organization
Organization Name:USA HEALTHCARE ADAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-329-0847
Mailing Address - Street 1:1555 HILLABEE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-2346
Mailing Address - Country:US
Mailing Address - Phone:256-329-0847
Mailing Address - Fax:256-329-1046
Practice Address - Street 1:1555 HILLABEE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-2346
Practice Address - Country:US
Practice Address - Phone:256-329-0847
Practice Address - Fax:256-329-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10655314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL010640OtherBCBS PROVIDER NUMBER
AL4752000SMedicaid
AL015386Medicare Oscar/Certification