Organization
ST. VINCENT PHYSICIAN NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCANDREWS (VICE PRESIDENT)
(317) 583-3194
Entity
Organization
Contact information
Practice address
900 NORTH COLUMBIA STREET, UNION CITY, IN 47390
(765) 964-6200
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2006
Last updated
08/10/2011
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