Organization
ST MARY'S BREAST CENTER, LLC
Active
Organization
ST MARY'S BREAST CENTER, LLC
Active
Parent organization
SETON HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SETON HEALTH
Authorized official
KATHY J HALL (MANAGER)
(812) 471-1591
Entity
Organization
Contact information
Practice address
100 ST MARYS EPWORTH XING, STE. A500, NEWBURGH, IN 47630-9698
(812) 485-4437
(812) 485-6890
Mailing address
PO BOX 138, EVANSVILLE, IN 47701-0138
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100468730
—
IN
05
—
7100138240
—
KY
Enumeration date
10/20/2005
Last updated
03/26/2014
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