# ST MARY'S MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASCENSION - INTENSIVE CARDIAC REHAB, ST VINCENT EVANSVILLE MEDICAL GROUP, ASCENSION MEDICAL GROUP ST. VINCENT EVANSVILLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750186656
- **Authorized official:** SHELBY MARIE COLLINS (VP)
- **Authorized official phone:** (812) 485-4930

## Contact information

- **Practice address:** 901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
- **Practice address phone:** (812) 473-2642
- **Mailing address:** 250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2025
- **Last updated:** 02/14/2025