MEDICARE: VIRGIN ISLANDS GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0203X	Radiation Oncology Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480001	OTHER	VI	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1003840745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGIN ISLANDS GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORPORATION

Provider Business Mailing Address
First Line	:	9048 SUGAR EST
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-4001
Country	:	US
Telephone Number	:	340-776-8311
Fax Number	:	340-714-6318

Provider Business Practice Location Address
First Line	:	9048 SUGAR EST
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-4001
Country	:	US
Telephone Number	:	340-776-8311
Fax Number	:	340-714-6318

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. PETER R NAJAWICZ
Credential	:
Telephone Number	:	340-776-8311

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	08/22/2020

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