# ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** 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:** 1144276122
- **Legal business name:** ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.
- **Authorized official:** D. BRUCE HAGA (VICE PRESIDENT)
- **Authorized official phone:** (317) 583-3087

## Contact information

- **Practice address:** 1448 S A ST, ELWOOD, IN 46036-1903
- **Practice address phone:** (765) 552-4611
- **Mailing address:** 10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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