Providence Medical Group

LBN: Alabama Providence Healthcare Services
Providence Medical Group is an health care organization with primary practice located at 610 Providence Park Dr E Bldg 1, Suite 102, Mobile AL 36695-4622. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Alabama Providence Healthcare Services can be contacted via phone (251) 639-5070, or through Kennedy, Todd S. via phone (251) 633-1660.

Contact Information

Primary practice address
610 Providence Park Dr E Bldg 1, Suite 102 Mobile AL 36695-4622
Phone: (251) 639-5070
Fax: (251) 634-2994
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Todd S.
Phone: (251) 633-1660

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1083043178
LBN Legal business name Alabama Providence Healthcare Services
DBA Doing business as Providence Medical Group
Authorized official Kennedy, Todd S.
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 8th, 2013
Last updated Sep 28th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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