Provider Demographics
NPI:1780556167
Name:ST. VINCENT DE PAUL VILLAGE, INC.
Entity type:Organization
Organization Name:ST. VINCENT DE PAUL VILLAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF HEALTH OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-645-6405
Mailing Address - Street 1:3350 E ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-3332
Mailing Address - Country:US
Mailing Address - Phone:619-771-8437
Mailing Address - Fax:
Practice Address - Street 1:16 15TH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:619-665-1607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. VINCENT DE PAUL VILLAGE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA785983511OtherDUNS