Provider Type Icon

ST VINCENTS ST CLAIR LLC NPI 1780671495


NPI Information

NPI: 1780671495
Provider Name: ST VINCENTS ST CLAIR LLC

Doing Business As: ST CLAIR EMERGENCY DEPARTMENT

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
2805 DR JOHN HAYNES DR
PELL CITY, AL
ZIP 35125
Phone: (205) 814-2104
Get Directions

ST VINCENTS ST CLAIR LLC is an emergency medicine in Pell City, AL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ST VINCENTS ST CLAIR LLC NPI is 1780671495. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Clair Emergency Department.

The provider's business location address is:

2805 DR JOHN HAYNES DR
PELL CITY, AL
ZIP 35125-448
Phone: (205) 814-2104
Fax: (205) 814-2145

The provider's authorized official is Brandon Williams .
The authorized official title is Cfo and has the following contact phone number (205) 814-2104.

The enumeration date for this NPI number is 9/29/2005 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
1207P00000XEmergency MedicineYes

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
1J704MEDICARE PINALABAMA
2CN6981MEDICARE PINALABAMA
3167885300OTHERALABAMADEPT OF LABOR (OWCP)
4529919640MEDICAIDALABAMA
53901720OTHERALABAMAUNITEDHEALTHCARE OF AL
6F856OTHERALABAMABCBS GROUP PROVIDER #
7311653OTHERALABAMABLACK LUNG - DPT OF LABOR

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.