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Providence Healthcare Services

Family Medicine Physician in Robertsdale, AL · enumerated 2007 · authorized official Clark Christianson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184742363

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Healthcare Services
Other name <Unavail>
Practice address 18317 Us Hwy 90, Robertsdale, AL, 36567
Phone (251) 947-2000
Fax (251) 947-5399
Enumeration date Mar 27, 2007
Last updated in NPPES Aug 27, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Clark Christianson
Title President
Phone (251) 631-3574

Other identifiers

Identifier Type State Issuer
529907120 Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Providence Healthcare Services?
NPPES lists Clark Christianson (President) as the authorized official for this organization.
What is the NPI number for Providence Healthcare Services?
The NPI for Providence Healthcare Services is 1184742363, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-27.