# ST CLARE HEALTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. CLARE MEDICAL CENTER
- **Other names:** Crawfordsville Obstetrics and Gynecology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447321997
- **Legal business name:** ST. CLARE MEDICAL CENTER
- **Authorized official:** JIM SIEMERS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (765) 362-3100

## Contact information

- **Practice address:** 1630 LAFAYETTE RD, SUITE 200, CRAWFORDSVILLE, IN 47933-1090
- **Practice address phone:** (765) 364-9720
- **Practice address fax:** (765) 364-9740
- **Mailing address:** 1710 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
- **Mailing address phone:** (765) 364-9720
- **Mailing address fax:** (765) 364-9740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 07/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000386762 | ANTHEM PIN | IN |
| 05 | — | 200214400B | — | IN |