Provider Demographics
NPI:1336466093
Name:SPRINGHILL PHYSICIAN PRACTICES, INC.
Entity Type:Organization
Organization Name:SPRINGHILL PHYSICIAN PRACTICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:AREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-460-5219
Mailing Address - Street 1:PO BOX 11407 DEPT # 8094
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-0001
Mailing Address - Country:US
Mailing Address - Phone:251-410-4001
Mailing Address - Fax:251-410-4002
Practice Address - Street 1:3715 DAUPHIN ST
Practice Address - Street 2:STE 7A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1771
Practice Address - Country:US
Practice Address - Phone:251-410-4001
Practice Address - Fax:251-460-5339
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPRINGHILL PHYSICIAN PRACTICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-21
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL890066261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510G700022Medicare PIN