ALABAMA PROVIDENCE HEALTHCARE SERVICES NPI 1679932248

NPI Information

NPI: 1679932248
Provider Name: ALABAMA PROVIDENCE HEALTHCARE SERVICES

Doing Business As: PROVIDENCE MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9971 AIRPORT BLVD
MOBILE, AL
ZIP 36608
Phone: (251) 342-3949
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ALABAMA PROVIDENCE HEALTHCARE SERVICES is a general practice in Mobile, AL. ALABAMA PROVIDENCE HEALTHCARE SERVICES NPI is 1679932248. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Medical Group.

The provider's business location address is:

9971 AIRPORT BLVD
MOBILE, AL
ZIP 36608-525
Phone: (251) 342-3949
Fax: (251) 631-3361

The provider's authorized official is Todd S Kennedy .
The authorized official title is President and has the following contact phone number (251) 633-8880.

The enumeration date for this NPI number is 2/11/2016 and was last updated on 2/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102G702814	MEDICARE PIN	ALABAMA
2	156183	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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