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 1902000102

Providence Healthcare Services is a Family Medicine Physician in Citronelle, Alabama. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

19140 S 3rd St
Citronelle, AL 36522-2306
Phone: (251) 866-0086
Fax: (251) 866-0089
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 number1902000102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Christianson — President · (251) 631-3574
Other names Providence Medical Group
NPI enumeratedJune 12, 2007
Last updated in NPPESAugust 27, 2012
Mailing addressPo Box 850489, Mobile, AL 36685-0489

Other providers in Citronelle