Provider Demographics
NPI:1104857820
Name:VI GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORP
Entity Type:Organization
Organization Name:VI GOVERNMENT HOSPITAL AND HEALTH FACILITIES CORP
Other - Org Name:CHARLOTTE KIMELMAN CANCER INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-776-8311
Mailing Address - Street 1:PO BOX 12240
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-5240
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:00802-3634
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:340-714-6318
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCHNEIDER REGIONAL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-05
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI261QX0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI480001Medicare Oscar/Certification