St. Vincent'S Hospital12345

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

033245 Issued in NY

Legal business name

ST. VINCENT'S HOSPITAL12345

Practice address

1020 Grand Concourse
#11G
Bronx, NY 10451-2605

Phone

(718) 992-1568

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Dedra Collier

Title

RPH

Phone

(718) 992-1568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1467764332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GRAND CONCOURSE",
            "address_2": "11G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512605",
            "telephone_number": "718-992-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GRAND CONCOURSE",
            "address_2": "#11G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512605",
            "telephone_number": "718-992-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT'S HOSPITAL12345",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "718-992-1568"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "033245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Bronx, NY
• Providers in Bronx, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.