Provider Demographics
NPI:1871916817
Name:SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Entity type:Organization
Organization Name:SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
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:T
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-452-5216
Mailing Address - Street 1:3580 PEACH ST
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2776
Mailing Address - Country:US
Mailing Address - Phone:814-864-4755
Mailing Address - Fax:814-864-5430
Practice Address - Street 1:3580 PEACH ST
Practice Address - Street 2:SUITE 103A
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2776
Practice Address - Country:US
Practice Address - Phone:814-864-4755
Practice Address - Fax:814-864-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA021504Medicare PIN