Provider Demographics
NPI:1083948186
Name:DEPARTMENT OF HEALTH, GOVT OF VI/MCH CLINIC ELAINE CO
Entity Type:Organization
Organization Name:DEPARTMENT OF HEALTH, GOVT OF VI/MCH CLINIC ELAINE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER OF HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:340-773-1311
Mailing Address - Street 1:1303 HOSPITAL GROUND, STE #10
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-774-7477
Mailing Address - Fax:340-777-4001
Practice Address - Street 1:2 C CONTANT, AQ BLDG 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:340-777-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare