# BLUE LAKE HEALTH SPRINGHILL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194496216
- **Authorized official:** ROBERT PATRICK (CEO)
- **Authorized official phone:** (205) 977-1949

## Contact information

- **Practice address:** 3719 DAUPHIN ST, MOBILE, AL 36608-1753
- **Practice address phone:** (251) 344-9630
- **Mailing address:** DEPT \#8322, PO BOX 11407, BIRMINGHAM, AL 35246-8322
- **Mailing address phone:** (205) 848-2925
- **Mailing address fax:** (334) 377-4417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2021
- **Last updated:** 09/28/2021