Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Healthcare Services

Organization Family Medicine Physician · NPI 1215214283

Providence Healthcare Services is a Family Medicine Physician in Mobile, Alabama. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

5100 Rangeline Rd N
Mobile, AL 36619-9504
Phone: (251) 378-4000
Fax: (251) 378-4006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1215214283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Christianson — President · (251) 631-3574
Other names Providence Medical Group
NPI enumeratedNovember 4, 2011
Last updated in NPPESSeptember 13, 2012
Mailing addressPo Box 850489, Mobile, AL 36685-0489

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