# ST. VINCENT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension Medical Group St. Vincent
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871866384
- **Authorized official:** BRIAN MORRIS (CFO)
- **Authorized official phone:** (317) 338-6234

## Contact information

- **Practice address:** 330 W DEERFIELD RD, UNION CITY, IN 47390-1039
- **Practice address phone:** (765) 964-6200
- **Mailing address:** 10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2012
- **Last updated:** 02/12/2020