MEDICARE: ST. VINCENT'S ST. CLAIR, LLC

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
1	275N00000X	Medicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number	:	1821511866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. VINCENT'S ST. CLAIR, LLC

Provider Business Mailing Address
First Line	:	1130 22ND ST S STE 1000
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-2881
Country	:	US
Telephone Number	:	205-838-5266
Fax Number	:

Provider Business Practice Location Address
First Line	:	7063 VETERANS PKWY
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35125-5114
Country	:	US
Telephone Number	:	205-838-6119
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CHRISTOPHER SCOTT HUGHES
Credential	:
Telephone Number	:	205-939-7230

Provider Enumeration Date	:	07/21/2017
Last Update Date	:	02/20/2024

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