Healthcare Provider Details

I. General information

NPI: 1821145269
Provider Name (Legal Business Name): SPRINGHILL PHYSICIAN PRACTICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000A CODY RD S
MOBILE AL
36695-3425
US

IV. Provider business mailing address

PO BOX 11407 DEPT # 8094
BIRMINGHAM AL
35246-0001
US

V. Phone/Fax

Practice location:
  • Phone: 251-460-5280
  • Fax:
Mailing address:
  • Phone: 251-410-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RENE AREAUX
Title or Position: VP FINANCE
Credential:
Phone: 251-460-5219