Organization
SAINT VINCENT HLTH CTR SPU
Active
Parent organization
SAINT VINCENT HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT VINCENT HEALTH CENTER
Authorized official
DR. CHRISTOPHER C CLARK DO, MHA (PRESIDENT & CEO)
(814) 452-5111
Entity
Organization
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
196001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072
HIGHMARK FACILITY NUMBER
PA
05
—
1001625200022
—
PA
Enumeration date
12/21/2006
Last updated
01/03/2020
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