Provider Demographics
NPI:1427461052
Name:SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Entity type:Organization
Organization Name:SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-452-5216
Mailing Address - Street 1:111 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:TIONESTA
Mailing Address - State:PA
Mailing Address - Zip Code:16353-9737
Mailing Address - Country:US
Mailing Address - Phone:814-755-3631
Mailing Address - Fax:814-755-2983
Practice Address - Street 1:111 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:TIONESTA
Practice Address - State:PA
Practice Address - Zip Code:16353-9737
Practice Address - Country:US
Practice Address - Phone:814-755-3631
Practice Address - Fax:814-755-2983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty