| Providence Medical Group | |
|
8010 Moffett Rd Semmes AL 36575-5406 | |
| (251) 645-8946 | |
| (251) 645-8976 |
| Full Name | Providence Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8010 Moffett Rd, Semmes, Alabama |
| Authorized Official Name and Position | Clark P. Christianson (PRESIDENT) |
| Authorized Official Contact | 2516313574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Po Box 850489 Mobile AL 36685-0489 Ph: (251) 342-3949 | Providence Medical Group 8010 Moffett Rd Semmes AL 36575-5406 Ph: (251) 645-8946 |
| NPI Number | 1053515353 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053515353 | NPI | - | NPPES |
| 529907120 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Semmes Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3810 Wulff Rd E, Semmes, AL 36575 Phone: 251-445-0582 Fax: 251-445-0582 | |
Greater Mobile Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7943 Moffett Rd, Semmes, AL 36575 Phone: 251-633-0123 Fax: 251-445-3722 | |
Abclinic Family Cares, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9752 Brooklyns Way S, Semmes, AL 36575 Phone: 251-282-6539 | |
University Of South Alabama Health Care Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7885 Moffett Rd, Semmes, AL 36575 Phone: 251-660-5840 Fax: 251-660-5841 | |
Providence Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8010 Moffett Rd, Semmes, AL 36575 Phone: 251-645-8946 Fax: 251-645-8976 |