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Alabama Providence Healthcare Services

Organization Active NPI Family Medicine Physician · Mobile, AL

NPI 1447799861 · NPPES record last updated May 9, 2017

Key facts

NPI
1447799861
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Practice address
5621 Cottage Hill Rd
Mobile, AL 36609-4210
Phone
(251) 666-2439
Fax
(251) 666-3166
NPI assigned
Feb 17, 2017
Organization subpart
No

Authorized official

Name
Erica Madison
Title
Credentialing Specialist
Phone
(251) 342-3949

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

National Provider Directory

Tax ID family
Alabama Providence Healthcare Services (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

5621 Cottage Hill Rd
Mobile, AL 36609-4210

Mailing address

PO Box 850489
Mobile, AL 36685-0489
Phone (251) 342-3949

Other identifiers

IdentifierTypeStateIssuer
156183MedicaidAL

Other names

  • Providence Medical Group Doing business as

Other providers in Mobile, AL

All providers in Mobile, AL · Family Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.