Providence Healthcare Services
NPI 1902000102 · Family Medicine Physician · Citronelle, AL
Providence Healthcare Services is a Family Medicine Physician organization in Citronelle, AL (NPI 1902000102).
Provider details
- NPI number
- 1902000102
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Christianson, President(251) 631-3574
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2012-08-27
Frequently asked questions
- What is Providence Healthcare Services's NPI number?
- Providence Healthcare Services's National Provider Identifier (NPI) is 1902000102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Healthcare Services?
- Providence Healthcare Services is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Healthcare Services located?
- Providence Healthcare Services's practice location on file with NPPES is 19140 S 3rd St, Citronelle, AL 36522-2306.
- What is Providence Healthcare Services's phone number?
- The practice phone number listed in the NPPES registry for Providence Healthcare Services is (251) 866-0086.
- Who is the authorized official for Providence Healthcare Services?
- The authorized official listed on Providence Healthcare Services's NPPES record is Clark Christianson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Healthcare Services's NPI active?
- Yes — Providence Healthcare Services's NPI (1902000102) is active in the NPPES registry as of the last update on 2012-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.