Providence Healthcare Services in Semmes - Family Medicine
Providence Healthcare Services - NPI 1053515353
Providence Healthcare Services is a Family Medicine in Semmes, Alabama. Providence Healthcare Services practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Providence Healthcare Services is 1053515353. The last update date is 2012-08-27.
Providence Healthcare Services's current location address is 8010 Moffett Rd, Semmes, Alabama. You can contact this provider via phone number 2516458946 and fax number 2516458976. The mailing address for Providence Healthcare Services is 8010 Moffett Rd, Semmes, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Providence Healthcare Services |
---|---|
Address | 8010 Moffett Rd, Semmes, Alabama |
Phone Number | 2516458946 |
Fax Number | 2516458976 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Christianson P. Clark |
Telephone Number | 2516313574 |
NPI Number Detail
NPI Number | 1053515353 |
---|---|
Provider Enumeration Date | 2007-06-12 |
Last Updated Date | 2012-08-27 |
Provider Mailing Address Detail
Address | 8010 Moffett Rd |
---|---|
City | Semmes |
State | Alabama (AL) |
Post Code | 365755406 |
Phone Number | 2516458946 |
Fax Number | 2516458976 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
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 i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
529907120 | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Healthcare Services by the Centers for Medicare & Medicaid Services?
The Providence Healthcare Services has been assigned the NPI (National Provider Identifier) 1053515353. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Providence Healthcare Services's facilities are situated?
The facilities of Providence Healthcare Services are physically located at the following address: 8010 Moffett Rd, Semmes, AL, 365755406.
What is Providence Healthcare Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Providence Healthcare Services is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Providence Healthcare Services receive its 1053515353 assignment from the Centers for Medicare & Medicaid Services?
The Providence Healthcare Services was assigned its 1053515353 by the Centers for Medicare & Medicaid Services on 2007-06-12.
As of what date were the details pertaining to Providence Healthcare Services last refreshed?
The information related to the Providence Healthcare Services, including its address, specialty, and other relevant details, was last updated on 2012-08-27.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA