# SAINT JOHN HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedOne, Rea, McGill, Carrel
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548478902
- **Authorized official:** D BRUCE HAGA (VICE PRESIDENT)
- **Authorized official phone:** (317) 583-3087

## Contact information

- **Practice address:** 4925 S SCATTERFIELD RD, ANDERSON, IN 46013-2911
- **Practice address phone:** (765) 646-6331
- **Mailing address:** 10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 12/18/2007