| Mississippi Providence Healthcare Services Inc. | |
|
6701 Airport Blvd Suite D430 Mobile AL 36608-6705 | |
| (251) 342-3949 | |
| (251) 631-3361 |
| Full Name | Mississippi Providence Healthcare Services Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6701 Airport Blvd, Mobile, Alabama |
| Authorized Official Name and Position | Clark P. Christianson (PRESIDENT) |
| Authorized Official Contact | 2516331660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Providence Healthcare Services Inc. Po Box 850489 Mobile AL 36685-0489 Ph: (251) 342-3949 | Mississippi Providence Healthcare Services Inc. 6701 Airport Blvd Suite D430 Mobile AL 36608-6705 Ph: (251) 342-3949 |
| NPI Number | 1821340407 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Medicare PECOS PAC ID | 8729239371 |
|---|---|
| Medicare Enrollment ID | O20121108000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821340407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ara Travers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659314979 PECOS PAC ID: 8729017363 Enrollment ID: I20060914000151 |
| Provider Name | Harris G Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811929193 PECOS PAC ID: 8921132408 Enrollment ID: I20100819000428 |
| Provider Name | Paul Fineburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023040318 PECOS PAC ID: 7719976927 Enrollment ID: I20100910000358 |
| Provider Name | Richard Whitlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598797870 PECOS PAC ID: 5092830158 Enrollment ID: I20100913000629 |
| Provider Name | Kenneth Michael Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346535390 PECOS PAC ID: 0547493058 Enrollment ID: I20140508001013 |
| Provider Name | Paula L Helmly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679782478 PECOS PAC ID: 5991897977 Enrollment ID: I20140723000296 |
| Provider Name | Matthew W Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124389366 PECOS PAC ID: 8921245200 Enrollment ID: I20160909002330 |
| Provider Name | Ursula Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124576707 PECOS PAC ID: 9739467358 Enrollment ID: I20161101002088 |
| Provider Name | Brock N Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083147045 PECOS PAC ID: 1850662982 Enrollment ID: I20200716000680 |
| Provider Name | Clay Agee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194201277 PECOS PAC ID: 3476890823 Enrollment ID: I20210708000032 |
| Provider Name | Sarah Mallette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831841808 PECOS PAC ID: 3274927017 Enrollment ID: I20220222000600 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
Usa Department Of Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Dr Albert Thomas Family Medical Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
Usa Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 | |
Springhill Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 | |
Bay Area Community Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Government Blvd, Suite408, Mobile, AL 36693 Phone: 251-602-1911 |