OrganizationActive
Mississippi Providence Healthcare Services Inc.
NPI 1821340407 · Family Medicine Physician · Mobile, AL
Provider details
- NPI number
- 1821340407
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Christianson, President(251) 633-1660
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6701 Airport Blvd
Suite D430
Mobile, AL 36608-6705
Phone: (251) 342-3949
Fax: (251) 631-3361
Street-level locationGet directions
Mailing address
Po Box 850489
Mobile, AL 36685-0489
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2012-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.