Providence Healthcare Services

NPI #1700080009 in Saraland, Alabama

Provider Information

NPI Number: 1700080009
Entity Type: Organization
Organization Name: Providence Healthcare Services
Primary Specialty: Family Medicine
Enumeration Date: Jun 12, 2007
Last Updated: Sep 13, 2012

Practice Location

Address: 18 C.M. RAMBO DRIVE
City: Saraland
State: Alabama
ZIP Code: 36571-2151
Phone: (251) 675-7433

Authorized Official

Name: MR. CLARK P. CHRISTIANSON
Title: PRESIDENT
Phone: (251) 633-1660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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