Healthcare Provider Details

I. General information

NPI: 1629028642
Provider Name (Legal Business Name): CARMEL HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1653 SPRINGHILL AVE
MOBILE AL
36604-1404
US

IV. Provider business mailing address

PO BOX 40475
MOBILE AL
36640-0475
US

V. Phone/Fax

Practice location:
  • Phone: 251-433-1146
  • Fax: 251-433-8282
Mailing address:
  • Phone: 251-433-1146
  • Fax: 251-433-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER C ALLEN JOHNSON
Title or Position: DIRECTOR
Credential: M.D.
Phone: 251-433-1146