Organization
ST VINCENTS EAST
Active
Parent organization
ST. VINCENT'S EAST
Other names
St Vincent's East Family Medicine Clinic
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
2152 OLD SPRINGVILLE RD, BIRMINGHAM, AL 35215-4005
(205) 838-6000
(205) 838-6999
Mailing address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3343
(205) 838-6119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528200780
—
AL
01
—
F736
MEDICARE PART B
AL
Enumeration date
08/29/2006
Last updated
09/06/2017
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