Organization · NPI-2
Alabama Providence Healthcare Services
Family Medicine · Mobile, AL
NPI number1083043178
StatusActive
Last updated in NPPESSep 28, 2015
Details
- NPI
- 1083043178
- Entity type
- Organization (NPI-2)
- Legal business name
- Alabama Providence Healthcare Services
- Organization subpart
- Yes
- Enumeration date
- Nov 8, 2013
- Last updated
- Sep 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Other names
- Providence Medical Group (Other Name)
Practice location
610 Providence Park Dr EBldg 1, Suite 102
Mobile, AL 36695-4622
Phone 251-639-5070 · Fax 251-634-2994
Mailing address
Po Box 850489Mobile, AL 36685-0489
Phone 251-342-3949 · Fax 251-631-3361
Authorized official
Todd S. Kennedy
President
2516331660
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Mobile, AL
- Bahaa Abdelqader, DONPI 1124757828
- Accountability Healthcare INCNPI 1689965139
- William E Admire Jr., DONPI 1295764124
- Affordable Medical Clinic Of AlabamaNPI 1598061517
- Dr. Ashlen AggenNPI 1033504428
- Aids Alabama South LLCNPI 1669008090
- Alabama Providence Healthcare ServicesNPI 1093144180
- Alabama Providence Healthcare ServicesNPI 1245669514
- Alabama Providence Healthcare ServicesNPI 1629407721
- Alabama Providence Healthcare ServicesNPI 1447799861