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PROVIDENCE MEDICAL GROUP
NPI 1386848356
Internal Medicine in Mobile, AL

Active since June 13, 2007
6701 AIRPORT BLVD, SUITE A101, MOBILE, AL 36608(251) 633-8880(251) 633-2817 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1386848356) is a healthcare organization registered as an internal 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

NPI1386848356
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES
Location Address6701 AIRPORT BLVD, SUITE A101Mobile, AL 36608-6705
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3964 · Fax (251) 631-3361
Phone(251) 633-8880
Fax(251) 633-2817
Organization SubpartNo
Authorized OfficialClark P. ChristiansonPresident · (251) 633-1660
Enumeration DateJune 13, 2007
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1386848356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
6701 AIRPORT BLVD, Mobile, AL 36608
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Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 3

Medicare PINH970AL
Medicaid529907120AL
Medicare PINH973AL

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 20

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

MRS. LISA M MCKINLEY CRNA
Nurse Anesthetist, Certified Registered
6701 AIRPORT BLVD, SUITE 430
MOBILE, AL 36608
Mobile County (251) 631-3270
PROVIDENCE HEALTHCARE SERVICES
Obstetrics & Gynecology (Gynecologic Oncology)
6701 AIRPORT BLVD, SUITE B127
MOBILE, AL 36608
Mobile County (251) 631-3490
SETON MEDICAL MANAGEMENT INC.
Nurse Practitioner
6701 AIRPORT BLVD, SUITE C132
MOBILE, AL 36608
Mobile County (251) 631-3501
PETER CHESTNUTT COATS M.D.
Internal Medicine
6701 AIRPORT BLVD, SUITE A-101
MOBILE, AL 36608
Mobile County (251) 633-8880
MOBILE SURGERY CLINICS
Surgery
6701 AIRPORT BLVD, D231
MOBILE, AL 36608
Mobile County (251) 631-3530
BLANKENSHIP GENERAL SURGERY, LLC
Surgery
6701 AIRPORT BLVD, SUITE B-316
MOBILE, AL 36608
Mobile County (251) 634-2900
DR. CHRYSTAL MICHELLE GRIFFIS M.D.
Internal Medicine
6701 AIRPORT BLVD, SUITE A101
MOBILE, AL 36608
Mobile County (251) 633-8880
WARREN E. KOFFLER M.D.
Internal Medicine
6701 AIRPORT BLVD, SUITE A-101
MOBILE, AL 36608
Mobile County (251) 633-8880

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 1386848356. It was assigned to this organization in the NPPES registry on June 13, 2007. The provider is doing business as Providence Medical Group.

Where is Providence Healthcare Services located?

Providence Healthcare Services is located at 6701 Airport Blvd Suite A101, Mobile, AL 36608. The listed phone number is (251) 633-8880.

What is Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.