Organization Name: | ST. VINCENT'S EAST FAMILY PRACTICE |
NPI Number: | 1033579024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARION SIMS (RESIDENCY PROGRAM DIRECTOR) |
Mailing Address: | 2152 Old Springville Rd Center Point |
State: | AL US |
Postal Code: | 352154005 |
Phone Number: | 2058386000 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2016 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | L.4157R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |