Providence Healthcare Services
NPI 1184742363ActiveOrganization· Family Medicine· Robertsdale, AL
Family Medicine in Robertsdale, Alabama, registered in NPPES in March 2007. The authorized official on file is Clark P. Christianson, President.
Overview
| NPI | 1184742363 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2007 |
| Last updated in NPPES | Aug 27, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | AL |
| Internal Medicine | 207R00000X | — | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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