# ST MARY'S MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Vincent Evansville Occupational Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669939617
- **Authorized official:** BRIAN MORRIS (CFO (SVMG))
- **Authorized official phone:** (317) 338-6234

## Contact information

- **Practice address:** 14020 OLD STATE RD, EVANSVILLE, IN 47725-1121
- **Practice address phone:** (812) 485-6900
- **Mailing address:** 14020 OLD STATE RD, EVANSVILLE, IN 47725-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2019
- **Last updated:** 05/13/2021