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Organization
ST. VINCENT PHYSICIAN NETWORK LLC
Active
Organization
ST. VINCENT PHYSICIAN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3079
Entity
Organization
Contact information
Practice address
301 HENRY ST, BLDG B, NORTH VERNON, IN 47265-1030
(812) 352-4300
Mailing address
10330 N MERIDIAN ST, STE 300, INDIANAPOLIS, IN 46290-1024
(317) 583-3079
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/21/2009
Last updated
08/31/2009
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