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Organization
ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.
Active
Organization
ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.
Active
Parent organization
ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.
Other names
Alexandria MA, Mercy FP, Mercy IM, Mercy Stress Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.
Authorized official
D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3087
Entity
Organization
Contact information
Practice address
1448 S A ST, ELWOOD, IN 46036-1903
(765) 552-4611
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
IN
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
05/25/2006
Last updated
10/15/2007
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