# VINCENTIAN PHYSICIAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VINCENTIAN VENTURES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851698310
- **Legal business name:** VINCENTIAN VENTURES
- **Authorized official:** KYLE HUPACH (VP REVENUE CYCLE)
- **Authorized official phone:** (205) 731-9287

## Contact information

- **Practice address:** 810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT, BIRMINGHAM, AL 35205-1601
- **Practice address phone:** (205) 930-2346
- **Practice address fax:** (205) 930-2158
- **Mailing address:** PO BOX 55309, BIRMINGHAM, AL 35255-5309
- **Mailing address phone:** (205) 939-2900
- **Mailing address fax:** (877) 575-1089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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