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ST. VINCENT'S CARDIOLOGY BLOUNT LLC NPI 1881995520


NPI Information

NPI: 1881995520
Provider Name: ST. VINCENT'S CARDIOLOGY BLOUNT LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 01D0300295

Address:
150 GILBREATH DR
SUITE B-100
ONEONTA, AL
ZIP 35121
Phone: (205) 274-3353
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ST. VINCENT'S CARDIOLOGY BLOUNT LLC is a cardiovascular disease internal medicine in Oneonta, AL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ST. VINCENT'S CARDIOLOGY BLOUNT LLC NPI is 1881995520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 GILBREATH DR
SUITE B-100
ONEONTA, AL
ZIP 35121-827
Phone: (205) 274-3353
Fax: (205) 274-3354

The provider's authorized official is Brandon Williams .
The authorized official title is Cfo and has the following contact phone number (205) 274-3004.

The CLIA number assigned to this NPI record is 01D0300295 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/11/2010 and was last updated on 9/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseDO-34ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERALABAMAEIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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