Provider Demographics
NPI:1275909566
Name:ST. VINCENT'S HEALTH PARTNERS, INC.
Entity Type:Organization
Organization Name:ST. VINCENT'S HEALTH PARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:AQUINAS
Authorized Official - Last Name:RASKAUSKAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-275-0202
Mailing Address - Street 1:2754 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-5308
Mailing Address - Country:US
Mailing Address - Phone:203-275-0202
Mailing Address - Fax:203-275-8688
Practice Address - Street 1:2754 MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-5308
Practice Address - Country:US
Practice Address - Phone:203-275-0202
Practice Address - Fax:203-275-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization