ST. VINCENT INFIRMARY MEDICAL CENTER NPI 1134513906

NPI Information

  • NPI: 1134513906
  • Provider Name: ST. VINCENT INFIRMARY MEDICAL CENTER
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • CLIA Number: 04D0902377
  • Address: 2215 WILDWOOD AVE
    SHERWOOD, AR
    ZIP 72120
  • Phone: (501) 552-7100

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NPI Details

ST. VINCENT INFIRMARY MEDICAL CENTER is an emergency medicine in Sherwood, AR. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ST. VINCENT INFIRMARY MEDICAL CENTER NPI is 1134513906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2215 WILDWOOD AVE
SHERWOOD, AR
ZIP 72120-089
Phone: (501) 552-7100

The provider's authorized official is Tadd M Richert .
The authorized official title is Sr. Vp And Cfo and has the following contact phone number (501) 522-3912.

The CLIA number assigned to this NPI record is 04D0902377 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 5/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1105393002MEDICAIDARKANSAS
257640MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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