PROVIDENCE HEALTHCARE SVC (NPI# 1326242066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326242066 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTHCARE SVC |
| Other Organization Name | PROVIDENCE OPEN MRI |
| Practice Address |
6901 Airport Blvd Mobile AL 36608-3795 |
| Mailing Address |
Po Box 850489 Mobile AL 36685-0489 |
| Practice Telephone | 2516395070 |
| Practice Fax Number | 2516342994 |
| Mailing Telephone | 2516395070 |
| Mailing Fax Number | 2516342994 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | MS. CINDY L OSHEA (BILLING OFFICE MANAGER) |
| Authorized Official Telephone | 2513423949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Open MRI | Doing Business As Name - Organization |
| Street Address |
6901 AIRPORT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912101981 | Providence Healthcare Services | Family Medicine | 6901 Airport Blvd, Mobile, AL 36608-3795 | 2007-06-13 |
| 1295219632 | Crystal Dawn Morgan | Nurse Practitioner | 6901 Airport Blvd, Mobile, AL 36608-3795 | 2018-09-21 |
| 1174049449 | Stanley Alan Clayton | Nurse Practitioner | 6901 Airport Blvd, Mobile, AL 36608-3795 | 2017-08-18 |
| 1770997579 | Compass Providence Urgent Care Lllp | Clinic/Center | 6901 Airport Blvd, Mobile, AL 36608-3795 | 2014-06-19 |
| 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 Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003055336 | Birmingham Radiological Group, PC | Clinic/Center | 1011 Lay Dam Road, Clanton, AL 35045 | 2009-02-10 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1881808400 | Walker Medical Diagnostics, LLC | Clinic/Center | 1450 Jones Dairy Rd Ste 600, Jasper, AL 35501-6109 | 2007-05-10 |
| 1982748216 | Renaissance Imaging Services | Clinic/Center | 2457 Mall Rd, Florence, AL 35630-2809 | 2007-02-19 |
| 1740204346 | Enterprise Open Mri, LLC | Clinic/Center | 100 Professional Lane Suite B, Enterprise, AL 36330 | 2006-07-27 |
| 1164443602 | The Mri Center of Northwest Alabama LLC | Clinic/Center | 150 Medical Dr., Winfield, AL 35594 | 2006-07-21 |
| 1831137363 | Birmingham Radiological Group, PC | Clinic/Center | 1088 9th Ave Sw, Bessemer, AL 35022-4530 | 2006-06-04 |
| 1033173687 | Open Mri of Marshall LLC | Clinic/Center | 12119 Us Hwy 431 South, Guntersville, AL 35976 | 2006-04-12 |
| 1033179809 | Open Mri of Decatur LLC | Clinic/Center | 1201 13th Avenue Se, Decatur, AL 35601 | 2006-03-25 |
| 1417928409 | Open Mri of Sylacauga, LLC | Clinic/Center | 395 James Payton Blvd, Sylacauga, AL 35150-8064 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
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| 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.