Organization
ST. VINCENT'S EAST
Active
Parent organization
ST. VINCENT'S EAST
Other names
Between Women-DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT'S EAST
Authorized official
BRANDON WILLIAMS (CFO)
(205) 838-3718
Entity
Organization
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3353
(205) 838-3102
Mailing address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3353
(205) 838-3102
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051504467
BLUE CROSS
AL
Enumeration date
02/13/2007
Last updated
09/06/2017
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