Basic Information
Provider Information
NPI: 1487699047
EntityType: 2
ReplacementNPI:  
OrganizationName: VI GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORP
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName: SCHNEIDER REGIONAL MEDICAL CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX 12440
Address2:  
City: ST THOMAS
State: VI
PostalCode: 008014001
CountryCode: US
TelephoneNumber: 3407768311
FaxNumber: 3407146318
Practice Location
Address1: 9048 SUGAR ESTATE
Address2:  
City: ST THOMAS
State: VI
PostalCode: 008024001
CountryCode: US
TelephoneNumber: 3407768311
FaxNumber: 3407146318
Other Information
ProviderEnumerationDate: 06/18/2006
LastUpdateDate: 04/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WHEATLEY
AuthorizedOfficialFirstName: BERNARD
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 3407768311
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QE0700X  N Ambulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
261QE0700X VIN Ambulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
282N00000X VIY HospitalsGeneral Acute Care Hospital 

No ID Information.


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