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Organization
ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC.
Active
Organization
ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC.
Active
Other names
St. Vincent Children's Specialty Hospital, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF POLTAWSKY (ADMINISTRATOR)
(317) 415-5522
Entity
Organization
Contact information
Practice address
1707 W. 86TH ST., INDIANAPOLIS, IN 46240
(317) 415-5500
(317) 415-5595
Mailing address
1707 W. 86TH ST., INDIANAPOLIS, IN 46240
(317) 415-5500
(317) 415-5595
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
IN
Other
Enumeration date
06/08/2006
Last updated
10/16/2007
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