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Organization
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Active
Organization
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Active
Parent organization
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Other names
ST. VINCENT PEDIATRIC SUBSPECIALTIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Authorized official
D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3087
Entity
Organization
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(800) 727-8439
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
NULL
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
NULL
2080P0216X
Pediatric Rheumatology Physician
—
—
Other
Enumeration date
09/11/2007
Last updated
05/01/2008
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