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Organization
SAINT JOHN'S HEALTH SYSTEM
Active
Organization
SAINT JOHN'S HEALTH SYSTEM
Active
Other names
Med One South Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W MOORE (EXECUTIVE VICE PRESIDENT)
(765) 646-8105
Entity
Organization
Contact information
Practice address
4925 S SCATTERFIELD RD, ANDERSON, IN 46013-2911
(765) 646-6331
(765) 641-2593
Mailing address
4925 S SCATTERFIELD RD, ANDERSON, IN 46013-2911
(765) 646-6331
(765) 641-2593
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
NULL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/17/2006
Last updated
12/31/2007
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