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ST. VINCENT INFIRMARY MEDICAL CENTER NPI 1790728079


NPI Information

NPI: 1790728079
Provider Name: ST. VINCENT INFIRMARY MEDICAL CENTER

Other Name: ST. VINCENT END STAGE RENAL DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2 SAINT VINCENT CIR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 552-3150
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ST. VINCENT INFIRMARY MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Little Rock, AR. ST. VINCENT INFIRMARY MEDICAL CENTER NPI is 1790728079. The provider is registered as an organization entity type.
The provider Other Name Is St. Vincent End Stage Renal Dialysis.

The provider's business location address is:

2 SAINT VINCENT CIR
LITTLE ROCK, AR
ZIP 72205-423
Phone: (501) 552-3150
Fax: (501) 552-4146

The provider's authorized official is Julie Carpenter .
The authorized official title is Administrative Director and has the following contact phone number (501) 552-3134.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 6/2/2009.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1042311MEDICARE OSCAR/CERTIFICATION

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

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