Provider Demographics
NPI:1003840745
Name:VIRGIN ISLANDS GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORPORATION
Entity Type:Organization
Organization Name:VIRGIN ISLANDS GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORPORATION
Other - Org Name:CHARLOTTE KILEMAN CANCER INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:R
Authorized Official - Last Name:NAJAWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-776-8311
Mailing Address - Street 1:9048 SUGAR EST
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-4001
Mailing Address - Country:US
Mailing Address - Phone:340-776-8311
Mailing Address - Fax:340-714-6318
Practice Address - Street 1:9048 SUGAR EST
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-4001
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:340-714-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI480001OtherMEDICARE PROVIDER NUMBER