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PROVIDENCE MEDICAL GROUP
NPI 1184742363
Family Medicine in Robertsdale, AL

Active since March 27, 2007
18317 US HWY 90, ROBERTSDALE, AL 36567(251) 947-2000(251) 947-5399 Get Directions Write a Review

NPPES record last updated: August 27, 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 1184742363) is a healthcare organization registered as a family medicine in Robertsdale, Alabama and active in the NPI registry since March 2007. The organization lists Clark P. Christianson, President, as its authorized official.

NPPES Registry Identity

NPI1184742363
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES
Location Address18317 US HWY 90Robertsdale, AL 36567
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 947-2000
Fax(251) 947-5399
Organization SubpartNo
Authorized OfficialClark P. ChristiansonPresident · (251) 631-3574
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 27, 2012
✔ NPI 1184742363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
18317 US HWY 90, Robertsdale, AL 36567
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Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 2

Medicaid529907120AL
Medicare PINK564AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ALABAMA PROVIDENCE HEALTHCARE SERVICES
Family Medicine
18317 US HWY 90
ROBERTSDALE, AL 36567
Baldwin County (251) 947-2000
LYNN H. PORTER M.D.
Family Medicine
18317 US HWY 90
ROBERSTDALE, AL 36567
Baldwin County (251) 947-2000
JOSEPH C STEELE III M.D.
Family Medicine
18317 US HWY 90
ROBERTSDALE, AL 36567
Baldwin County (251) 947-2000
TERRY PHILLIP BELL M.D.
Internal Medicine
18317 US HWY 90
ROBERTSDALE, AL 36567
Baldwin County (251) 947-2000

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 1184742363. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Providence Medical Group.

Where is Providence Healthcare Services located?

Providence Healthcare Services is located at 18317 Us Hwy 90, Robertsdale, AL 36567. The listed phone number is (251) 947-2000.

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 August 27, 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.