Healthcare Provider Details

I. General information

NPI: 1780098269
Provider Name (Legal Business Name): SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2014
Last Update Date: 06/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W WALNUT ST
TITUSVILLE PA
16354-2517
US

IV. Provider business mailing address

125 W WALNUT ST
TITUSVILLE PA
16354-2517
US

V. Phone/Fax

Practice location:
  • Phone: 814-827-4244
  • Fax: 814-827-6643
Mailing address:
  • Phone: 814-827-4244
  • Fax: 814-827-6643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS MURPHY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 814-452-5216