# SUMMT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMT MEDICAL GROUP, INC
- **Other names:** St. Elizabeth Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932672458
- **Legal business name:** SUMMT MEDICAL GROUP, INC
- **Authorized official:** MARIA RANKIN (AVP REVENUE CYCLE)
- **Authorized official phone:** (859) 655-2583

## Contact information

- **Practice address:** 1640 FLOSSIE DRIVE, GREENDALE, IN 47025
- **Practice address phone:** (812) 496-3290
- **Practice address fax:** (812) 537-0400
- **Mailing address:** PO BOX 635283, CINCINNATI, OH 45263-5283
- **Mailing address phone:** (812) 496-3290
- **Mailing address fax:** (812) 537-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 01/08/2019