# ST. VINCENT MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. VINCENT MEDICAL GROUP, INC.
- **Other names:** Red Gold Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124459573
- **Legal business name:** ST. VINCENT MEDICAL GROUP, INC.
- **Authorized official:** BRADLEY MCNABB (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (317) 583-3078

## Contact information

- **Practice address:** 7408 W STATE ROAD 28, SUITE 1, ELWOOD, IN 46036-8600
- **Practice address phone:** (765) 557-2240
- **Mailing address:** 10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
- **Mailing address phone:** (317) 583-3078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | IN | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/12/2013