Organization
ST. VINCENT PHYSICIAN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3079
Entity
Organization
Contact information
Practice address
301 HENRY ST, BLDG B, NORTH VERNON, IN 47265-1030
(812) 352-4300
Mailing address
10330 N MERIDIAN ST, STE 300, INDIANAPOLIS, IN 46290-1024
(317) 583-3079
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
08/31/2009
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