Healthcare Provider Details
I. General information
NPI: 1427471580
Provider Name (Legal Business Name): DEPT OF HEALTH, GOVT OF VI EMS ST THOMAS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2014
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9048 SUGAR ESTATE 4TH FLOOR RLS COMMUNITY HEALTH - ST. THOMAS
ST. THOMAS VI
00802-6722
US
IV. Provider business mailing address
9048 SUGAR ESTATE 4TH FLOOR RLS COMMUNITY HEALTH - ST. THOMAS
ST. THOMAS VI
00802-6722
US
V. Phone/Fax
- Phone: 340-773-1311
- Fax:
- Phone: 340-773-1311
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | VI |
VIII. Authorized Official
Name:
LORNA
MILLER
Title or Position: REVENUE MANAGER
Credential:
Phone: 340-773-1311