PROVIDENCE MEDICAL GROUP - FAIRHOPE – NPI #1316464183
Family Medicine

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 is not limited by age, sex, organ system, or disease entity.

PROVIDENCE MEDICAL GROUP - FAIRHOPE is a provider located in FAIRHOPE, AL. NPPES has assigned the NPI number 1316464183 to PROVIDENCE MEDICAL GROUP - FAIRHOPE on August 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVIDENCE MEDICAL GROUP - FAIRHOPE” is a dba name, the actual legal business name for this organization is ALABAMA PROVIDENCE HEALTHCARE SERVICES. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE MEDICAL GROUP - FAIRHOPE below.

NPI Profile for
ALABAMA PROVIDENCE HEALTHCARE SERVICES

NPI Number
1316464183
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Doing Business As (dba): PROVIDENCE MEDICAL GROUP - FAIRHOPE
Primary location
411 N SECTION ST
FAIRHOPE, AL 36532-2649
Phone: (251) 342-3949 Fax:
Mailing address
PO BOX 850489
MOBILE, AL 36685-0489
Phone: (251) 342-3949 Fax: (251) 631-3361
Organization Subpart
No
Authorized Official
TODD KENNEDY
PRESIDENT
Phone: (251) 633-1000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.