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Organization
VINCENTIAN PHYSICIAN SERVICES LLC
Active
Organization
VINCENTIAN PHYSICIAN SERVICES LLC
Active
Parent organization
VINCENTIAN VENTURES
Organization subpart
Yes
Provider details
NPI number
Legal business name
VINCENTIAN VENTURES
Authorized official
KYLE HUPACH (VP REVENUE CYCLE)
(205) 731-9287
Entity
Organization
Contact information
Practice address
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT, BIRMINGHAM, AL 35205-1601
(205) 930-2346
(205) 930-2158
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
(205) 939-2900
(877) 575-1089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
261Q00000X
Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/18/2011
Last updated
05/20/2026
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