# ST. VINCENT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871964825
- **Authorized official:** DIONNE WEEMS (ATHLETIC TRAINER)
- **Authorized official phone:** (937) 215-6422

## Contact information

- **Practice address:** 8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387
- **Practice address phone:** (317) 415-5795
- **Mailing address:** 8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | 36002132A | IN | Yes |

## Other

- **Enumeration date:** 10/16/2015
- **Last updated:** 10/16/2015