Providence Healthcare Services
Organization Active NPI Internal Medicine Physician · Mobile, AL
NPI 1508878083 · NPPES record last updated Oct 8, 2012
Key facts
- NPI
- 1508878083
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PROVIDENCE HEALTHCARE SERVICES
- Practice address
- 6701 Airport Blvd
Suite D430
Mobile, AL 36608-6705 - Phone
- (251) 342-3949
- Fax
- (251) 631-3361
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Clark P. Christianson
- Title
- President
- Phone
- (251) 633-1660
Practitioners 96
-
Clay Sheffield Agee, FNP-C
-
Alexis C Allen, CRNP
-
Billy August, MD
-
Rahel Aziz, MD
-
Brittany Letrelle Barnes, M.D.
-
Lindsey Ward Beakley, M.D.
-
Terry Phillip Bell, M.D.
-
Nicole M Bodine, CRNP
-
William L. Case, MD
-
Robin R. Collins, C.F.N.P.
-
Madelyn Collum, NP
-
Ross B Del Fierro, M.D.
-
Angela Dugger, PA-C
-
Tami Dunne, NP
-
Tetyana G. Falkenberry, M.D.
-
Michelle Krause Faust, CRNP
-
Thomas E. Foster, MD
-
James A Hassell, MD
National Provider Directory
Locations
19140 S 3rd St
Citronelle, AL 36522
Phone (251) 866-0086
5100 Rangeline Service Rd N
Mobile, AL 36619
Phone (251) 378-4000
8833 Cottage Hill Rd
Mobile, AL 36695
Phone (251) 544-5120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Rheumatology Physician |
207RR0500X | |||
| Gynecologic Oncology Physician |
207VX0201X |
Addresses
Primary practice location
6701 Airport Blvd
Suite D430
Mobile, AL 36608-6705
Mailing address
PO Box 850489
Mobile, AL 36685-0489
Phone (251) 342-3949
Other names
- PROVIDENCE MEDICAL GROUP
Other providers in Mobile, AL
- Providence Healthcare Services
- Providence Healthcare Services
- Providence Healthcare Services
- Providence Healthcare Services
- Providence Healthcare Services
- Providence Healthcare Services
- Providence Healthcare Services
- Providence Healthcare Services Inc
- Providence Healthcare Services, Inc.
- Providence Healthcare SVC
All providers in Mobile, AL · Internal 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 Oct 8, 2012. 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.