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ALABAMA PROVIDENCE HEALTHCARE SERVICES NPI 1629407721


NPI Information

NPI: 1629407721
Provider Name: ALABAMA PROVIDENCE HEALTHCARE SERVICES

Other Name: PROVIDENCE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0924416

Address:
5100 RANGELINE ROAD N
MOBILE, AL
ZIP 36619
Phone: (251) 661-4454
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ALABAMA PROVIDENCE HEALTHCARE SERVICES is a family medicine in Mobile, 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. ALABAMA PROVIDENCE HEALTHCARE SERVICES NPI is 1629407721. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Providence Medical Group.

The provider's business location address is:

5100 RANGELINE ROAD N
MOBILE, AL
ZIP 36619-504
Phone: (251) 661-4454
Fax: (251) 631-9843

The provider's authorized official is Todd S. Kennedy .
The authorized official title is President and has the following contact phone number (251) 633-1660.

The CLIA number assigned to this NPI record is 01D0924416 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/8/2013 and was last updated on 9/28/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.