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PROVIDENCE MEDICAL GROUP
NPI 1124222427
Family Medicine in Mobile, AL

Active since June 12, 2007
5100 RANGELINE ROAD NORTH, MOBILE, AL 36619(251) 661-4454(251) 661-9843 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL GROUP (NPI 1124222427) is a healthcare organization registered as a family medicine in Mobile, Alabama and active in the NPI registry since June 2007. The organization lists Clark P. Christianson, President, as its authorized official.

NPPES Registry Identity

NPI1124222427
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES
Location Address5100 RANGELINE ROAD NORTHMobile, AL 36619-9504
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 661-4454
Fax(251) 661-9843
Organization SubpartNo
Authorized OfficialClark P. ChristiansonPresident · (251) 633-1660
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1124222427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
5100 RANGELINE ROAD NORTH, Mobile, AL 36619
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Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 2

Medicare PINH963AL
Medicaid529907120AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE HEALTHCARE SERVICES
Family Medicine
5100 RANGELINE ROAD NORTH
MOBILE, AL 36619
Mobile County (251) 378-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Healthcare Services's NPI number?

The NPI number for Providence Healthcare Services is 1124222427. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Providence Medical Group.

Where is Providence Healthcare Services located?

Providence Healthcare Services is located at 5100 Rangeline Road North, Mobile, AL 36619. The listed phone number is (251) 661-4454.

What is Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Healthcare Services was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.