PROVIDENCE HEALTHCARE SERVICES NPI 1184742363

NPI Information

PROVIDENCE HEALTHCARE SERVICES is a family medicine in Robertsdale, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE HEALTHCARE SERVICES NPI is 1184742363. 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:

18317 US HWY 90
ROBERTSDALE, AL
ZIP 36567
Phone: (251) 947-2000
Fax: (251) 947-5399

The provider's authorized official is Clark P. Christianson .
The authorized official title is President and has the following contact phone number (251) 631-3574.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/27/2012.

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:

Other Identifiers

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