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NPI Code Detail

MEDICARE: SAINT VINCENT HEALTH SYSTEM

MEDICARE: SAINT VINCENT HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing SiteMD045690LPA

General Provider Information

NPI Number : 1710149828
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT VINCENT HEALTH SYSTEM
Provider Business Mailing Address
First Line : 5626 OBERLIN DR
Second Line : SUITE 110
City : SAN DIEGO
State : CA
Zip : 92121-1705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 N MAIN ST
Second Line : 2ND FLOOR
City : UNION CITY
State : PA
Zip : 16438-1068
Country : US
Telephone Number : 814-438-7208
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : DANIELLE GREEN
Credential :
Telephone Number : 858-625-2990
Provider Enumeration Date : 06/30/2008
Last Update Date : 10/22/2012

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Directions to “SAINT VINCENT HEALTH SYSTEM ” Practice Location

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