Organization
SAINT VINCENT PHYSICIAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RASMUS (VP, CFO TPR TENET)
(469) 893-2532
Entity
Organization
Contact information
Practice address
123 SUMMER ST STE 279, WORCESTER, MA 01608-1216
(508) 363-6040
(508) 636-9268
Mailing address
PO BOX 11760, BELFAST, ME 04915-4008
(800) 328-9381
(866) 217-1166
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9736701
—
MA
Enumeration date
01/20/2006
Last updated
05/30/2023
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