# ST. MARY MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. MARY MEDICAL CENTER INC
- **Other names:** Michael Kovacich MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598839730
- **Legal business name:** ST. MARY MEDICAL CENTER INC
- **Authorized official:** JANICE RYBA (CEO)
- **Authorized official phone:** (219) 942-0551

## Contact information

- **Practice address:** 200 E 80TH PLACE, STE 100, MERRILLVILLE, IN 46410-5671
- **Practice address phone:** (219) 769-7536
- **Practice address fax:** (219) 736-1506
- **Mailing address:** 9660 WICKER AVENUE, ST JOHN, IN 46373-9487
- **Mailing address phone:** (219) 226-2203
- **Mailing address fax:** (219) 226-2202

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 07/11/2024