Healthcare Provider Details

I. General information

NPI: 1366977985
Provider Name (Legal Business Name): VIRGIN ISLANDS DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARBEL PLZ
ST THOMAS VI
00802-4600
US

IV. Provider business mailing address

BARBEL PLZ
ST THOMAS VI
00802-4600
US

V. Phone/Fax

Practice location:
  • Phone: 340-774-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BERLINA BERUBE
Title or Position: DIRECTOR
Credential:
Phone: 340-774-7700