Healthcare Provider Details

I. General information

NPI: 1760752836
Provider Name (Legal Business Name): DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#78 1-2-3 ESTATE CONTANT ELAINE CO BLDG
ST THOMAS VI
00802
US

IV. Provider business mailing address

1303 HOSPITAL GROUND SUITE #10
ST THOMAS VI
00802-6722
US

V. Phone/Fax

Practice location:
  • Phone: 340-777-8804
  • Fax: 340-774-7392
Mailing address:
  • Phone: 340-777-8804
  • Fax: 340-774-7392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA SPRAUVE
Title or Position: PROGRAM ADMINISTRATOR
Credential:
Phone: 340-777-8804