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Organization
ST. VINCENT MEDICAL GROUP, INC.
Active
Organization
ST. VINCENT MEDICAL GROUP, INC.
Active
Other names
Ascension Medical Group St. Vincent
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MORRIS (CFO)
(317) 338-6234
Entity
Organization
Contact information
Practice address
1684 BUSH LN, #100, CRAWFORDSVILLE, IN 47933
(765) 365-9500
Mailing address
10330 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
02/12/2020
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