1316371933 NPI number — ST. VINCENT HEALTHCARE

Table of content: (NPI 1316371933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316371933 NPI number — ST. VINCENT HEALTHCARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. VINCENT HEALTHCARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316371933
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2900 12TH AVE N
Provider Second Line Business Mailing Address:
SUITE 245W
Provider Business Mailing Address City Name:
BILLINGS
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59101-7506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-238-6010
Provider Business Mailing Address Fax Number:
406-238-6022

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 12TH AVE N
Provider Second Line Business Practice Location Address:
SUITE 245W
Provider Business Practice Location Address City Name:
BILLINGS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59101-7506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-238-6010
Provider Business Practice Location Address Fax Number:
406-238-6022
Provider Enumeration Date:
08/30/2013

Additional Information

Authorized Official

Authorized Official Last Name:
KINNA
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
C
Authorized Official Title or Position:
SVPN EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
406-237-4009

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 13258 . This is a "LICENSE" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com