Organization
PROVIDENCE HOSPITAL
Active
Parent organization
PROVIDENCE HOSPITAL
Other names
Hospitalist Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HOSPITAL
Authorized official
MR. TODD S. KENNEDY (PRESIDENT)
(251) 633-1660
Entity
Organization
Contact information
Practice address
6801 AIRPORT BLVD, HOSPITALIST DEPT., MOBILE, AL 36608-3709
(251) 639-5775
(251) 631-3581
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
09/28/2015
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