Healthcare Provider Details

I. General information

NPI: 1174219547
Provider Name (Legal Business Name): GOVERNMENT OF US VIRGIN ISLANDS DEPARTMENT OF FINANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 ROSS TAARNEBERG
ST THOMAS VI
00802-4773
US

IV. Provider business mailing address

385 WILLIAM G LEWIS DRIVE
ST THOMAS VI
00802-3017
US

V. Phone/Fax

Practice location:
  • Phone: 340-774-7610
  • Fax:
Mailing address:
  • Phone: 340-774-7616
  • Fax: 340-712-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: LORNA MILLER
Title or Position: REVENUE COORDINATOR
Credential: BS, CADS
Phone: 340-718-1311