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 1124222427

Providence Healthcare Services provides Family Medicine Physician services in Mobile, Alabama. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

5100 Rangeline Rd N
Mobile, AL 36619-9504 Not confirmed with CMS for 14 years — call before visiting
Phone: (251) 661-4454
Fax: (251) 661-9843
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 number1124222427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Christianson — President · (251) 633-1660
Other names Providence Medical Group
NPI enumeratedJune 12, 2007
Last updated in NPPESSeptember 13, 2012
Mailing addressPo Box 850489, Mobile, AL 36685-0489

Other providers in Mobile