Healthcare Provider Details

I. General information

NPI: 1356675458
Provider Name (Legal Business Name): DEPT OF HEALTH, GOVT OF VI/MORRIS DECASTRO CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2009
Last Update Date: 09/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4D STRAND STREET
CRUZ BAY, ST JOHN VI
00803
US

IV. Provider business mailing address

1303 HOSPITAL GROUND, STE#10
ST. THOMAS VI
00802
US

V. Phone/Fax

Practice location:
  • Phone: 340-777-7477
  • Fax: 340-777-4001
Mailing address:
  • Phone: 340-776-8311
  • Fax: 340-777-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIA SHEEN
Title or Position: COMMISSIONER OF HEALTH
Credential: MPH
Phone: 340-773-1311