Providence Medical Group - Pediatrics

LBN: Alabama Providence Healthcare Services
Providence Medical Group - Pediatrics is an health care organization with primary practice located at 6908 Providence Park Dr S , Mobile AL 36695-4600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Alabama Providence Healthcare Services can be contacted via phone (251) 660-3490, or through Vieyra, Yesica via phone (205) 939-7633.

Contact Information

Primary practice address
6908 Providence Park Dr S Mobile AL 36695-4600
Phone: (251) 660-3490
Fax: (251) 660-3491
Website:
Map and Directions
Authorized official contact:
Name: Vieyra, Yesica
Phone: (205) 939-7633

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1730613431
LBN Legal business name Alabama Providence Healthcare Services
DBA Doing business as Providence Medical Group - Pediatrics
Authorized official Vieyra, Yesica
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2017
Last updated Feb 15th, 2019 - about 5 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 1730613431 NPPES
Alabama MEDICAID 156183

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