Basic Information
| Provider Information | |||||||||
| NPI: | 1033579024 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ST. VINCENT'S EAST FAMILY PRACTICE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2152 OLD SPRINGVILLE RD | ||||||||
| Address2: | |||||||||
| City: | CENTER POINT | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352154005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058386000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2152 OLD SPRINGVILLE RD | ||||||||
| Address2: | |||||||||
| City: | CENTER POINT | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352154005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058386000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2016 | ||||||||
| LastUpdateDate: | 09/06/2017 | ||||||||
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| AuthorizedOfficialLastName: | WILLIAMS | ||||||||
| AuthorizedOfficialFirstName: | BRANDON | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 2058386000 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | ASCENSION HEALTH | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NR1301X | L.4157R | AL | Y | Hospitals | General Acute Care Hospital | Rural |
No ID Information.