PROVIDENCE HOSPITAL


Address: 6801 Airport Blvd, Hospitalist Dept., Mobile, AL 36608-3709
Phone: 2516395775

PROVIDENCE HOSPITAL (NPI# 1871922971) 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) 1871922971
Entity Type Organization
Organization Name PROVIDENCE HOSPITAL
Other Organization Name HOSPITALIST GROUP
Practice Address 6801 Airport Blvd
Hospitalist Dept.
Mobile
AL 36608-3709
Mailing Address Po Box 850489
Mobile
AL 36685-0489
Practice Telephone 2516395775
Practice Fax Number 2516313581
Mailing Telephone 2513423949
Mailing Fax Number 2516313361
Enumeration Date 2013-11-08
Last Update Date 2015-09-28
Authorized Official Name MR. TODD S. KENNEDY (PRESIDENT)
Authorized Official Telephone 2516331660
Is Organization Subpart Y
Parent Organization Name PROVIDENCE HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Hospitalist Group Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134584667 Providence Hospital Clinic/Center 3413 Olive Branch Dr, Silver Spring, MD 20904-4973 2015-12-29
1881891372 Providence Hospital Chronic Disease Hospital 16400 N Park Dr Apt 1008, Southfield, MI 48075-4728 2007-06-28
1548486681 Providence Hospital General Acute Care Hospital 10508 Keane Dr, Grass Lake, MI 49240-8803 2007-04-17
1932277050 Providence Hospital Rehabilitation Hospital 6351 Woodside Dr, Theodore, AL 36582-6061 2006-11-30
1861057416 Providence Hospital Clinic/Center 1150 Varnum St Ne, Washington, DC 20017-2180 2019-05-08
1861954638 Providence Hospital Emergency Medicine 1150 Varnum St Ne, Washington, DC 20017-2180 2019-04-02
1710362496 Providence Hospital General Acute Care Hospital 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2015-07-23
1992133912 Providence Hospital Anesthesiology 6801 Airport Blvd, Anesthesia Dept., Mobile, AL 36608-3709 2013-10-30
1659707149 Providence Hospital General Acute Care Hospital 1150 Varnum St Ne, Washington, DC 20017-2104 2013-09-17
1649616384 Providence Hospital General Acute Care Hospital 1150 Varnum St Ne, Washington, DC 20017-2104 2013-05-21

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PROVIDENCE HOSPITAL 914 S Scheuber Rd, Centralia, WA 98531-9027
System for Award Management (SAM) Entities PROVIDENCE HOSPITAL AND MEDICAL CENTERS 16001 W 9 Mile Rd, Southfield, MI 48075-4818
Iowa Business Entities PROVIDENCE HOSPITALITY PARTNERS LLC 709 Clarkson St, Denver, CO 80218
Colorado Business Entities PROVIDENCE HOSPITALITY PARTNERS LLC 1888 N Sherman St, Suite 610, Denver, CO 80203
New York State Corporations PROVIDENCE HOSPITALITY PARTNERS LLC 1888 N Sherman St, Suite 610, Denver, Co 80203

Office Location

Street Address 6801 AIRPORT BLVD
HOSPITALIST DEPT.
City MOBILE
State AL
Zip Code 36608-3709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326041203 David R. Hassell Radiology 6801 Airport Blvd, Mobile, AL 36608-3709 2005-05-24
1457975708 Chastity Dawn Huguley Nurse Practitioner 6801 Airport Blvd, Mobile, AL 36608-3709 2020-06-02
1326690223 Deanna D Ryan Nurse Practitioner 6801 Airport Blvd, Mobile, AL 36608-3709 2019-07-10
1730744012 Ashly M. Acosta Nurse Practitioner 6801 Airport Blvd, Mobile, AL 36608-3709 2019-05-02
1306302948 Kelsey Sims Welch Nurse Practitioner 6801 Airport Blvd, Mobile, AL 36608-3709 2019-02-19
1528532140 Robert Brooks Stephens Jr. Nurse Anesthetist, Certified Registered 6801 Airport Blvd, Mobile, AL 36608-3785 2019-01-16
1366913683 Kristine Boyle Pharmacist 6801 Airport Blvd, Mobile, AL 36608-3709 2018-12-15
1003392036 Katherine Harrelson Nurse Practitioner 6801 Airport Blvd, Mobile, AL 36608-3709 2018-07-12
1952819542 Brooklyn Hamm Nurse Anesthetist, Certified Registered 6801 Airport Blvd, Mobile, AL 36608-3709 2018-01-17
1033626528 Lindsey Lovorn Diehl Nurse Anesthetist, Certified Registered 6801 Airport Blvd, Mobile, AL 36608-3709 2018-01-05
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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
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972161305 Usa Health Physician Billing Services LLC Hospitalist 1700 Center St, Mobile, AL 36604-3301 2019-05-31
1669824934 Imc-hospitalists LLC Hospitalist 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 2016-07-11
1639533383 Alabama Providence Healthcare Services Hospitalist 6801 Airport Blvd, Mobile, AL 36608-3709 2016-04-08
1659732139 University of South Alabama Hospitalist 1700 Center St, Ped Cc, Mobile, AL 36604-3301 2016-03-11
1285077784 Anna Foust Hospitalist 2451 Fillingim St, Mobile, AL 36617-2238 2013-04-15
1588944250 Pulmonary Associates of Mobile, P.C. Hospitalist 3719 Dauphin Street, Mobile, AL 36608 2011-08-25
1003996521 Adolph Isom Hospitalist 3280 Dauphin St, Building B, Suite 118, Mobile, AL 36606-4060 2006-10-17
1235238916 Inpatient Consultants of Alabama, Inc Hospitalist 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 2006-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104343581 Summit Physician Group LLP Hospitalist 2700 Hospital Dr Ofc 1, Northport, AL 35476-3360 2017-08-25
1891226106 Kelsey King Hospitalist 619 19th St S # Wpp915, Birmingham, AL 35249-0001 2017-03-27
1649727694 Whatley Health Services, Inc. Hospitalist 508 Green Street, Greensboro, AL 36744-2316 2016-09-07
1174767974 Norwood Neurology Inc Hospitalist 920 Castlemaine Ct, Birmingham, AL 35226-5916 2009-04-23
1467613729 Xinyu Chen Hospitalist 8712 Marsh Ridge Dr, Montgomery, AL 36117-8509 2008-06-19
1043479124 Felix R Dulanto Hospitalist 7625 Old Springville Rd, Trussville, AL 35173-1739 2008-06-04
1184809659 Kenyetta Terrell Hospitalist Wp P915 619 19th Street South, Birmingham, AL 35249-8907 2008-01-03
1487694782 Fort Payne Hospital Corporation Hospitalist 200 Medical Center Dr., Fort Payne, AL 35968 2006-06-07
1083663579 Fort Payne Hospital Organization Hospitalist 200 Medical Centre Dr., Fort Payne, AL 35968 2006-05-10
1235116971 Steven Craig Smith Hospitalist 995 9th Ave Sw, Suite 305, Bessemer, AL 35022-4527 2005-12-23
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Competitor

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City MOBILE
Zip Code 36608

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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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