# ST CLARE HEALTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST CLARE MEDICAL CENTER
- **Other names:** Eastside Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609940105
- **Legal business name:** ST CLARE MEDICAL CENTER
- **Authorized official:** JIM SIEMERS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (765) 362-2800

## Contact information

- **Practice address:** 2056 LEBANON RD, CRAWFORDSVILLE, IN 47933-2143
- **Practice address phone:** (765) 361-9923
- **Mailing address:** 1710 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
- **Mailing address phone:** (765) 362-2800

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 07/24/2008