Providence Healthcare Services in Daphne - Gynecologic Oncology
Providence Healthcare Services - NPI 1164683595
Providence Healthcare Services is a Gynecologic Oncology in Daphne, Alabama. Providence Healthcare Services practices all healthcare services and medical treatments related to Gynecologic Oncology. The NPI Number for Providence Healthcare Services is 1164683595. The last update date is 2012-08-27.
Providence Healthcare Services's current location address is 29653 Anchor Cross Blvd, Daphne, Alabama. You can contact this provider via phone number 2516313490 and fax number 2516313461. The mailing address for Providence Healthcare Services is 29653 Anchor Cross Blvd, Daphne, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Healthcare Services |
|---|---|
| Address | 29653 Anchor Cross Blvd, Daphne, Alabama |
| Phone Number | 2516313490 |
| Fax Number | 2516313461 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Christianson P. Clark |
| Telephone Number | 2516313574 |
NPI Number Detail
| NPI Number | 1164683595 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2012-08-27 |
Provider Mailing Address Detail
| Address | 29653 Anchor Cross Blvd |
|---|---|
| City | Daphne |
| State | Alabama (AL) |
| Post Code | 365269594 |
| Phone Number | 2516313490 |
| Fax Number | 2516313461 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecologic Oncology |
|---|---|
| Taxonomy | 207Vx0201X |
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Definition: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and res |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529907120 | AL | -- |
Post Comment/ Review Below
What is the Providence Healthcare Services's unique identification number?
The Providence Healthcare Services has been assigned the NPI (National Provider Identifier) Number 1164683595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Providence Healthcare Services located?
The Providence Healthcare Services is located at 29653 Anchor Cross Blvd, Daphne, AL 365269594.
What is Providence Healthcare Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Providence Healthcare Services's specialized field of practice is Gynecologic Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 207Vx0201X.
On what date was the 1164683595 assigned to Providence Healthcare Services?
The Providence Healthcare Services was issued its 1164683595 on 2008-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Providence Healthcare Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Providence Healthcare Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-27.