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Organization
ST. VINCENT CHILDREN'S SPECIALTY HOSPITAL, INC.
Active
Organization
ST. VINCENT CHILDREN'S SPECIALTY HOSPITAL, INC.
Active
Other names
St. Vincent Children's Specialty Hospital Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND FUNSTEN (ASST VP FINANCE)
(317) 338-8198
Entity
Organization
Contact information
Practice address
1707 W 86TH ST, INDIANAPOLIS, IN 46260-2002
(317) 415-5500
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 870-6740
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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