Providence Medical Group
LBN: Providence Healthcare Services
Providence Medical Group is an health care organization with primary practice located at 6901 Airport Blvd , Mobile AL 36608-3795. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Providence Healthcare Services can be contacted via phone (251) 639-5070, or through Christianson, Clark P. via phone (251) 631-3574.
Contact Information
Primary practice address
6901 Airport Blvd
Mobile AL 36608-3795
Phone: (251) 639-5070
Fax: (251) 634-2994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
NPI number | 1912101981 |
---|---|
LBN Legal business name | Providence Healthcare Services |
DBA Doing business as | Providence Medical Group |
Authorized official | Christianson, Clark P. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 13th, 2007 |
Last updated | Aug 27th, 2012 - about 12 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 | 1912101981 | NPPES |
Alabama | MEDICAID | 529907120 |
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