Provider Demographics
NPI:1558399105
Name:SPRINGHILL EMERGENCY PHYSICIANS, PC
Entity Type:Organization
Organization Name:SPRINGHILL EMERGENCY PHYSICIANS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-421-1983
Mailing Address - Street 1:PO BOX 10179
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92685-0179
Mailing Address - Country:US
Mailing Address - Phone:562-468-0227
Mailing Address - Fax:562-924-5830
Practice Address - Street 1:3719 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1753
Practice Address - Country:US
Practice Address - Phone:251-460-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL123270Medicaid
ALD394Medicare PIN
ALC30912Medicare PIN