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ALABAMA PROVIDENCE HEALTHCARE SERVICES NPI 1649634395


NPI Information

NPI: 1649634395
Provider Name: ALABAMA PROVIDENCE HEALTHCARE SERVICES

Doing Business As: ONCOLOGY CENTER AT PROVIDENCE PARK

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6701 AIRPORT BLVD
SUITE A-T06
MOBILE, AL
ZIP 36608
Phone: (251) 633-1889
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ALABAMA PROVIDENCE HEALTHCARE SERVICES is a specialist in Mobile, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALABAMA PROVIDENCE HEALTHCARE SERVICES NPI is 1649634395. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oncology Center At Providence Park.

The provider's business location address is:

6701 AIRPORT BLVD
SUITE A-T06
MOBILE, AL
ZIP 36608-705
Phone: (251) 633-1889
Fax: (251) 633-1182

The provider's authorized official is Todd Kennedy .
The authorized official title is President and has the following contact phone number (251) 633-1000.

The enumeration date for this NPI number is 4/8/2016 and was last updated on 4/8/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1156183MEDICAIDALABAMA
2102G702814MEDICARE PINALABAMA

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.