ALABAMA PROVIDENCE HEALTHCARE SERVICES


Address: 9971 Airport Blvd, Mobile, AL 36608-9525
Phone: 2513423949

ALABAMA PROVIDENCE HEALTHCARE SERVICES (NPI# 1679932248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679932248
Entity Type Organization
Organization Name ALABAMA PROVIDENCE HEALTHCARE SERVICES
Other Organization Name PROVIDENCE MEDICAL GROUP
Practice Address 9971 Airport Blvd
Mobile
AL 36608-9525
Mailing Address 6701 Airport Blvd
Suite 143
Mobile
AL 36608-6705
Practice Telephone 2513423949
Practice Fax Number 2516313361
Mailing Telephone 2513423949
Mailing Fax Number 2516313361
Enumeration Date 2016-02-11
Last Update Date 2016-02-11
Authorized Official Name MR. TODD S KENNEDY (PRESIDENT)
Authorized Official Telephone 2516338880
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 156183 05

Other Provider/Organization Names

Other Name Type Code
Providence Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316464183 Alabama Providence Healthcare Services Family Medicine 411 N Section St, Fairhope, AL 36532-2649 2017-08-23
1093241671 Alabama Providence Healthcare Services Otolaryngology 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 2017-05-03
1730613431 Alabama Providence Healthcare Services Pediatrics 6908 Providence Park Dr S, Mobile, AL 36695-4600 2017-04-19
1447799861 Alabama Providence Healthcare Services Family Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2017-02-17
1629511753 Alabama Providence Healthcare Services Specialist 6701 Airport Blvd, Ste B215, Mobile, AL 36608-6705 2016-11-21
1891245692 Alabama Providence Healthcare Services Specialist 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 2016-10-05
1649634395 Alabama Providence Healthcare Services Specialist 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 2016-04-08
1558725200 Alabama Providence Healthcare Services Specialist 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 2016-04-08
1851755581 Alabama Providence Healthcare Services Specialist 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 2016-04-08
1689038382 Alabama Providence Healthcare Services Specialist 6801 Airport Blvd, Mobile, AL 36608-3709 2016-04-08

Office Location

Street Address 9971 AIRPORT BLVD
City MOBILE
State AL
Zip Code 36608-9525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730108093 Scott Anthony Doherty Podiatrist 9971 Airport Blvd, Mobile, AL 36608-9525 2006-07-18
1013414630 Amanda Busby Lord Nurse Practitioner 9971 Airport Blvd, Mobile, AL 36608-9525 2018-04-10
1790128429 Ashley Elizabeth Davis Family Medicine 9971 Airport Blvd, Mobile, AL 36608-9525 2013-04-11
1346256260 James Leslie Ruble Family Medicine 9971 Airport Blvd, Mobile, AL 36608-9525 2006-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475524 Grantham Dental, Inc. Dentist 3620 Springhill Memorial Drive South, Mobile, AL 36608 2020-10-21
1114540879 Dearrius Hines Home Health Aide 1370 Lucerne Dr, Mobile, AL 36608 2020-05-28
1558980409 Rachel Stevens Registered Nurse 8507 Tanner Williams Rd, Mobile, AL 36608 2020-04-10
1073170700 Usa Health Physician Billing Services LLC Otolaryngology 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 2019-05-29
1952885600 Franklin Primary Health Center Inc. Dentist 990 Cody Rd North, Mobile, AL 36608 2018-09-19
1114410040 Zackary Elkins Optometrist 105 W I65 Service Rd N, Mobile, AL 36608 2018-06-14
1023562865 Covenant Hospice, Inc. Internal Medicine 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 2016-08-10
1730575416 Rayven Likely Student in an Organized Health Care Education/Training Program 1014 Centerwood Dr, Mobile, AL 36608 2015-04-09
1598040461 Robert S Harlin Specialist 75 Clarise Circle, Mobile, AL 36608 2011-10-11
1972884948 Heidi Michelle Mcdermott Physical Therapist 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 2011-09-06
Find all providers in zip 36608

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922624097 Kyle Rolfe General Practice 1962 Schillinger Rd S, Mobile, AL 36695-4118 2020-06-24
1598128167 James Oliver Walls General Practice 213 Glenwood St, Mobile, AL 36606-4438 2016-03-31
1447697743 Justin L. Ellerman General Practice 2451 University Hospital Dr # 400-k, Mobile, AL 36617-2300 2013-05-28
1073891792 American Family Care, Inc. General Practice 5235 Rangeline Service Rd S, Ste# 101, Mobile, AL 36619-9541 2011-07-29
1649451683 Chykeetra S. Maltbia General Practice 5011 Government Blvd Ste B, Mobile, AL 36693-5029 2007-11-19
1598841322 Jonathan Ross Moore Sr. General Practice 75 S Lafayette St, Mobile, AL 36604-1730 2006-10-27
1477505378 Charles William Bodie General Practice 5580 Inn Rd, Suite 200, Mobile, AL 36619 2006-05-17
1013986785 Franklin Primary Health Center, Inc. General Practice 1904 Bishop Ave, Mobile, AL 36610 2006-03-16
1508398942 Peter Soh General Practice 2451 Fillingim St Ste 10-f, Mobile, AL 36617-2238 2017-04-03
1487003653 Berney Vincent General Practice 801 S University Blvd Ste D, Mobile, AL 36609-2949 2016-06-08
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36608

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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