Providence Medical Group
LBN: Providence Healthcare Services
Providence Medical Group is an health care organization with primary practice located at 5621 Cottage Hill Rd , Mobile AL 36609-4210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Providence Healthcare Services can be contacted via phone (251) 666-2439, or through Kennedy, Todd via phone (251) 631-3574.
Contact Information
Primary practice address
5621 Cottage Hill Rd
Mobile AL 36609-4210
Phone: (251) 666-2439
Fax: (251) 666-3166
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
NPI number | 1497959613 |
---|---|
LBN Legal business name | Providence Healthcare Services |
DBA Doing business as | Providence Medical Group |
Authorized official | Kennedy, Todd |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 12th, 2007 |
Last updated | May 9th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497959613 | NPPES |
Alabama | MEDICAID | 529907120 |
Popular Providers
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Infection Limited P C
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