Healthcare Provider Details

I. General information

NPI: 1134255409
Provider Name (Legal Business Name): ST. VINCENT'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 CHURCH ST
RAINBOW CITY AL
35906-6242
US

IV. Provider business mailing address

810 SAINT VINCENTS DR
BIRMINGHAM AL
35205-1601
US

V. Phone/Fax

Practice location:
  • Phone: 205-314-8834
  • Fax:
Mailing address:
  • Phone: 205-314-8834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRANDON WILLIAMS
Title or Position: CFO
Credential:
Phone: 205-838-3718