# SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Port Erie Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548594393
- **Authorized official:** PATRICIA BALLMAN RN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (814) 452-5296

## Contact information

- **Practice address:** 3413 CHERRY ST, ERIE, PA 16508-2678
- **Practice address phone:** (814) 860-5970
- **Practice address fax:** (814) 868-8561
- **Mailing address:** 3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
- **Mailing address phone:** (814) 860-5036
- **Mailing address fax:** (814) 860-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 09/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100772520 0054 | — | PA |