The Cancer Center At Providence Park Pet Ct

LBN: Alabama Providence Healthcare Services
The Cancer Center At Providence Park Pet Ct is an health care organization with primary practice located at 6701 Airport Blvd Suite A-T01, Mobile AL 36608-6705. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Alabama Providence Healthcare Services can be contacted via phone (251) 633-1890, or through Kennedy, Todd via phone (251) 633-1000.

Contact Information

Primary practice address
6701 Airport Blvd Suite A-T01 Mobile AL 36608-6705
Phone: (251) 633-1890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Todd
Phone: (251) 633-1000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1518321538
LBN Legal business name Alabama Providence Healthcare Services
DBA Doing business as The Cancer Center At Providence Park Pet Ct
Authorized official Kennedy, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2016
Last updated Apr 6th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518321538 NPPES
Alabama MEDICAID 156183

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