Provider Demographics
NPI:1417202169
Name:ST VINCENT'S MEDICAL CENTER
Entity Type:Organization
Organization Name:ST VINCENT'S MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:APALOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-576-6000
Mailing Address - Street 1:2600 PARK AVE
Mailing Address - Street 2:UNIT 1M
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-1303
Mailing Address - Country:US
Mailing Address - Phone:203-928-7443
Mailing Address - Fax:
Practice Address - Street 1:2600 PARK AVE
Practice Address - Street 2:UNIT 1M
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-1303
Practice Address - Country:US
Practice Address - Phone:203-928-7443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital