Healthcare Provider Details

I. General information

NPI: 1700884608
Provider Name (Legal Business Name): SPRINGHILL SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 DAUPHIN ST
MOBILE AL
36608-1756
US

IV. Provider business mailing address

3701 DAUPHIN ST
MOBILE AL
36608-1756
US

V. Phone/Fax

Practice location:
  • Phone: 251-341-3405
  • Fax:
Mailing address:
  • Phone: 251-341-3405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number5336
License Number StateAL

VIII. Authorized Official

Name: BECKIE CRAWFORD
Title or Position: VP OF FINANCE
Credential:
Phone: 251-460-5280