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Organization

ST. VINCENT INFIRMARY MEDICAL CENTER

Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
TADD M RICHERT (SR. VP AND CFO)
(501) 522-3912
Entity
Organization

Contact information

Practice address
2215 WILDWOOD AVE, SHERWOOD, AR 72120-5089
(501) 552-7100
Mailing address
PO BOX 22720, LITTLE ROCK, AR 72221-2720
(501) 522-3000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105393002
AR
Enumeration date
03/19/2015
Last updated
05/15/2015
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