| NPI | 1679226690 |
|---|---|
| Doing Business As | ASCENSION ST VINCENT'S MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MIRANDA HEMM Enrollment Manager 904-450-6004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-10-17 |