Healthcare Provider Details

I. General information

NPI: 1104857820
Provider Name (Legal Business Name): VI GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9048 SUGAR EST
ST THOMAS VI
00802-3634
US

IV. Provider business mailing address

PO BOX 12240
ST THOMAS VI
00801-5240
US

V. Phone/Fax

Practice location:
  • Phone: 340-776-8311
  • Fax: 340-714-6318
Mailing address:
  • Phone: 340-776-8311
  • Fax: 340-714-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number StateVI

VIII. Authorized Official

Name: MS. ALICE M TAYLOR
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 340-776-8311