# SAINT JOHN HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Middletown Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902912108
- **Authorized official:** D. BRUCE HAGA (VICE PRESIDENT)
- **Authorized official phone:** (317) 583-3087

## Contact information

- **Practice address:** 602 N 5TH ST, MIDDLETOWN, IN 47356-1008
- **Practice address phone:** (765) 354-2062
- **Practice address fax:** (765) 354-4679
- **Mailing address:** 10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 12/03/2007