Healthcare Provider Details
I. General information
NPI: 1275238206
Provider Name (Legal Business Name): VI GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2023
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9048 SUGAR EST
ST THOMAS VI
00802-3634
US
IV. Provider business mailing address
9048 SUGAR EST
ST THOMAS VI
00802-3634
US
V. Phone/Fax
- Phone: 340-776-8311
- Fax:
- Phone: 340-776-8311
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TINA
COMISSIONG
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 340-776-8311