St. Vincent's St. Clair, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

ST. VINCENT'S ST. CLAIR, LLC

Practice address

2805 Dr John Haynes Dr
Pell City, AL 35125-1448

Phone

(205) 814-2104

NPI assigned

Mar 15, 2007

Last updated

Sep 6, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. VINCENT'S ST. CLAIR, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon Williams

Title

Cfo

Phone

(205) 838-3718

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Vincent's St. Clair CRNA's Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1053445882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251448",
            "telephone_number": "205-814-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251448",
            "telephone_number": "205-814-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT'S ST. CLAIR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT'S ST. CLAIR, LLC",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-838-3718"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529800500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent's St. Clair CRNA's",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St. Clair Emergency Physicians, LLC.
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• Jennifer Joy St. John, CRNP
• St. Vincent's Home Health, LLC (Ascension at Home)
• St. Vincent's Home Medical Services, LLC (UAB St. Vincent's Home Medical Services)
• St. Vincent's St. Clair, LLC (Medical Center Pell City)
• St. Vincent's St. Clair, LLC (St. Vincents St. Clair Lab)
• St. Vincent's St. Clair, LLC (St. Vincent's St. Clair Swing Beds)
• St. Vincent's St. Clair, LLC (Ascension St. Vincent's St. Clair)
• Jennifer Darabaris Stamps, PHARM.D.

• Certified Registered Nurse Anesthetist in Pell City, AL
• Providers in Pell City, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.