Provider Demographics
NPI:1003212556
Name:ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Entity Type:Organization
Organization Name:ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Other - Org Name:SAINT VINCENT MEDICAL GROUP OF CORRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-452-5016
Mailing Address - Street 1:315 YORK ST
Mailing Address - Street 2:
Mailing Address - City:CORRY
Mailing Address - State:PA
Mailing Address - Zip Code:16407-1412
Mailing Address - Country:US
Mailing Address - Phone:814-664-8686
Mailing Address - Fax:814-664-9826
Practice Address - Street 1:315 YORK ST
Practice Address - Street 2:
Practice Address - City:CORRY
Practice Address - State:PA
Practice Address - Zip Code:16407-1412
Practice Address - Country:US
Practice Address - Phone:814-664-8686
Practice Address - Fax:814-664-9826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-11
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty