Organization
ST VINCENT HOSIPTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CORY MORGAN MS, ATC, LAT (ATHLETIC TRAINER)
(765) 532-8134
Entity
Organization
Contact information
Practice address
8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387
(317) 415-5775
Mailing address
8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
36001251A
IN
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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