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Organization

ST. VINCENT'S ST. CLAIR, LLC

Active
Parent organization
ST. VINCENT'S ST. CLAIR, LLC
Other names
Medical Center Pell City
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. VINCENT'S ST. CLAIR, LLC
Authorized official
BRANDON WILLIAMS (CFO)
(205) 838-3718
Entity
Organization

Contact information

Practice address
2811 DR JOHN HAYNES DR, SUITE 201, PELL CITY, AL 35125-1447
(205) 814-2104
Mailing address
2811 DR JOHN HAYNES DR, SUITE 201, PELL CITY, AL 35125-1447
(205) 814-2104

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529700010
AL
01
G159
MCARE PART B BILLING
AL
Enumeration date
03/15/2007
Last updated
09/06/2017
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