Alabama Providence Healthcare Services
Organization Active NPI Family Medicine Physician · Saraland, AL
NPI 1083043822 · NPPES record last updated Sep 28, 2015
Key facts
- NPI
- 1083043822
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALABAMA PROVIDENCE HEALTHCARE SERVICES
- Practice address
- 18 Rambo Dr
Saraland, AL 36571-2147 - Phone
- (251) 675-7433
- Fax
- (251) 675-3470
- NPI assigned
- Nov 2, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ALABAMA PROVIDENCE HEALTHCARE SERVICES
Authorized official
- Name
- Mr. Todd S. Kennedy
- Title
- President
- Phone
- (251) 633-1660
Corporate family (same tax ID) 26
National Provider Directory
- Tax ID family
- Alabama Providence Healthcare Services
- Part of
- Alabama Providence Healthcare Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| General Practice Physician |
208D00000X |
Addresses
Primary practice location
18 Rambo Dr
Saraland, AL 36571-2147
Mailing address
PO Box 850489
Mobile, AL 36685-0489
Phone (251) 342-3949
Other names
- Providence Medical Group
Other providers in Saraland, AL
- A & a Balm Residential LLC
- Alabama CVS Pharmacy LLC
- Alabama Orthopaedic Clinic, P.C.
- Salmedina Alic
- Altapointe Health Systems, Inc.
- American Family Care, LLC
- Anchor Therapy Services
- Jabari Harvey Antone
All providers in Saraland, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.