# ST CATHERINE PHYSICIAN SERVICES OF INDIANA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629252515
- **Authorized official:** ROBERT LANE (CEO)
- **Authorized official phone:** (812) 256-3301

## Contact information

- **Practice address:** 417 WEST COLONEL WAY, HENRYVILLE, IN 47126
- **Practice address phone:** (812) 294-1470
- **Mailing address:** 417 WEST COLONEL WAY, HENRYVILLE, IN 47126
- **Mailing address phone:** (812) 294-1470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01052944A | IN | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 03/26/2008