Organization
ST. VINCENT'S EAST
Active
Other names
St. Vincent's East CRNA's
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WILLIAMS (CFO)
(205) 838-3718
Entity
Organization
Contact information
Practice address
50 MEDICAL CENTER EAST DRIVE, BIRMINGHAM, AL 35235-3401
(205) 838-3343
Mailing address
50 MEDICAL CENTER EAST DRIVE, BIRMINGHAM, AL 35235-3401
(205) 838-3343
(205) 838-6119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559900150
—
AL
01
—
C802
MCARE PART B
—
Enumeration date
03/15/2007
Last updated
09/06/2017
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