ALABAMA PROVIDENCE HEALTHCARE SERVICES


Address: 5621 Cottage Hill Rd, Mobile, AL 36609-4210
Phone: 2516662439

ALABAMA PROVIDENCE HEALTHCARE SERVICES (NPI# 1447799861) 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) 1447799861
Entity Type Organization
Organization Name ALABAMA PROVIDENCE HEALTHCARE SERVICES
Other Organization Name PROVIDENCE MEDICAL GROUP
Practice Address 5621 Cottage Hill Rd
Mobile
AL 36609-4210
Mailing Address Po Box 850489
Mobile
AL 36685-0489
Practice Telephone 2516662439
Practice Fax Number 2516663166
Mailing Telephone 2513423949
Mailing Fax Number 2516313361
Enumeration Date 2017-02-17
Last Update Date 2017-05-09
Authorized Official Name ERICA MADISON (CREDENTIALING SPECIALIST)
Authorized Official Telephone 2513423949
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 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
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
1639533383 Alabama Providence Healthcare Services Hospitalist 6801 Airport Blvd, Mobile, AL 36608-3709 2016-04-08

Office Location

Street Address 5621 COTTAGE HILL RD
City MOBILE
State AL
Zip Code 36609-4210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336112788 James A Hassell Family Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2006-02-08
1104278829 Ali Riza Nazari Family Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2016-07-06
1619306701 Alabama Providence Healthcare Services Internal Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2013-11-08
1710152582 Tetyana G. Falkenberry Family Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2008-04-23
1497959613 Providence Healthcare Services Internal Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2007-06-12
1043375918 Renata Alma Wix-harris Family Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2006-12-22
1679589162 Julia Ann Boyd Nurse Practitioner 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821698309 Bhg Lxxii, LLC Clinic/Center 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 2020-10-26
1760036008 Jesse David Schultz Chiropractor 3501 Montlimar Plaza Drive, Mobile, AL 36609 2019-07-25
1982267241 Raqueal L. Williams Registered Nurse 406 Larose Dr., Mobile, AL 36609 2019-04-22
1588131924 Angela Roney Counselor 705 Oak Circle Dr. East, Mobile, AL 36609 2018-10-24
1134617996 Harley Michelle Oliver Physician Assistant 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 2018-04-27
1912420126 Rural Urgent Care LLC Clinic/Center 6280 Grelot Road, Mobile, AL 36609 2017-07-19
1598128407 Trisha Mcmillon Counselor 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 2016-03-30
1437523347 Sonya White D.d.s. PC Dentist 6309 Piccadilly Square Dr., Mobile, AL 36609 2015-11-17
1386913374 Janis Marie Fausser Pharmacist 5705 Cottagehill Rd, Mobile, AL 36609 2011-12-20
1245524263 Emily Chisholm Physical Therapist 1515 University Blvd. S., Mobile, AL 36609 2011-06-07
Find all providers in zip 36609

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194105361 Md Mobile Care, Inc Family Medicine 600 Clinic Drive Suite 2800, Mobile, AL 36688-0001 2015-06-03
1417349580 Jasmine P Gaines Family Medicine 801 S University Blvd Ste D, Mobile, AL 36609-2949 2015-02-26
1871992834 Focusal1010 Family Medicine 3165 Dauphin St, Mobile, AL 36606-4061 2014-08-15
1659665123 William E Barber Family Medicine 1504 Springhill Ave, University of South Alabama, Department of Family Medicine, Rm 3414, Mobile, AL 36604-3273 2011-06-02
1598061517 Affordable Medical Clinic of Alabama Family Medicine 4701 Airport Blvd, Suite 200, Mobile, AL 36608-3187 2011-02-09
1952617508 Gmuc of Springhill LLC Family Medicine 4402 Old Shell Rd, Mobile, AL 36608-1912 2010-08-20
1356585301 Keva Wontoria Collier Family Medicine 2889 Sollie Rd, 1321, Mobile, AL 36695-5532 2009-04-21
1912101981 Providence Healthcare Services Family Medicine 6901 Airport Blvd, Mobile, AL 36608-3795 2007-06-13
1740484955 Providence Healthcare Services Family Medicine 8833 Cottage Hill Rd, Mobile, AL 36695-8345 2007-06-12
1124222427 Providence Healthcare Services Family Medicine 5100 Rangeline Road North, Mobile, AL 36619-9504 2007-06-12
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36609

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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