Providence Hospital

Organization Active NPI Rehabilitation Hospital · Theodore, AL

NPI 1932277050 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1932277050
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital 283X00000X
Legal business name
PROVIDENCE HOSPITAL
Practice address
6351 Woodside Dr
Theodore, AL 36582-6061
Phone
(251) 442-2361
NPI assigned
Nov 30, 2006
Organization subpart
No

Authorized official

Name
Miss Jinni L Frisbey, MED, ATC
Title
Certified Head Athletic Trainer
Phone
(251) 442-2361

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Yes

Addresses

Primary practice location

6351 Woodside Dr
Theodore, AL 36582-6061

Mailing address

6351 Woodside Dr
Theodore, AL 36582-6061

Other providers in Theodore, AL

All providers in Theodore, AL · Rehabilitation Hospital in Alabama

Sources for this page

Verify at the official NPI Registry.