St Vincent Breast Cancer & Mammography Screening Center LLC
Clinic/Center, Radiology, Mammography in Little Rock, AR. Organization (NPI-2).
NPI number1023005253
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1023005253
- Entity type
- Organization (NPI-2)
- Legal business name
- St Vincent Breast Cancer & Mammography Screening Center LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2005
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0206X | Clinic/Center, Radiology, Mammography | – | – | Yes |
Other names
- St Vincent Breast Cancer (Doing Business As)
Practice location
500 S University AveSuite 114
Little Rock, AR 72205-5302
Phone 501-661-9766 · Fax 501-975-4666
Mailing address
500 S University AveSuite 114
Little Rock, AR 72205-5302
Phone 501-661-9766 · Fax 501-975-4666
Authorized official
Jerome J Gehl
Medical Director
5016862614
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.