Providence Healthcare Services in Citronelle - Family Medicine
Providence Healthcare Services - NPI 1902000102
Providence Healthcare Services is a Family Medicine in Citronelle, Alabama. Providence Healthcare Services practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Providence Healthcare Services is 1902000102. The last update date is 2012-08-27.
Providence Healthcare Services's current location address is 19140 S 3rd St, Citronelle, Alabama. You can contact this provider via phone number 2518660086 and fax number 2518660089. The mailing address for Providence Healthcare Services is 19140 S 3rd St, Citronelle, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Providence Healthcare Services |
---|---|
Address | 19140 S 3rd St, Citronelle, Alabama |
Phone Number | 2518660086 |
Fax Number | 2518660089 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Christianson P. Clark |
Telephone Number | 2516313574 |
NPI Number Detail
NPI Number | 1902000102 |
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Provider Enumeration Date | 2007-06-12 |
Last Updated Date | 2012-08-27 |
Provider Mailing Address Detail
Address | 19140 S 3rd St |
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City | Citronelle |
State | Alabama (AL) |
Post Code | 365222306 |
Phone Number | 2518660086 |
Fax Number | 2518660089 |
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 10-digit identification code assigned to Providence Healthcare Services by the Centers for Medicare & Medicaid Services?
The Providence Healthcare Services has been issued the NPI (National Provider Identifier) 1902000102, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Providence Healthcare Services is located?
The Providence Healthcare Services is situated at the following address: 19140 S 3Rd St, Citronelle, AL, 365222306.
What is the Providence Healthcare Services's area of specialization and corresponding taxonomy classification?
The Providence Healthcare Services's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did Providence Healthcare Services receive its 1902000102 assignment from the Centers for Medicare & Medicaid Services?
The Providence Healthcare Services was assigned its 1902000102 on 2007-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Providence Healthcare Services most recently updated or refreshed?
The details pertaining to the Providence Healthcare Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-08-27.
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