Healthcare Provider Details

I. General information

NPI: 1356896062
Provider Name (Legal Business Name): SION FARM URGENT CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 SION FARM SHOPP CTR STE 5
CHRISTIANSTED VI
00820-4433
US

IV. Provider business mailing address

4100 SION FARM SHOPPING CTR #5
CHRISTIANSTED VI
00820
US

V. Phone/Fax

Practice location:
  • Phone: 340-643-2227
  • Fax:
Mailing address:
  • Phone: 340-643-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number230935IL
License Number StateVI

VIII. Authorized Official

Name: DR. KENDALL M GRIFFITH
Title or Position: OWNER
Credential: M.D.,F.A.C.C.
Phone: 340-643-2227