Organization
SAINT JOHN HEALTH SYSTEM
Active
Parent organization
ST.VINCENT MADISON COUNTY HEALTH SYSTEM
Other names
Saint Johns Medical Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.VINCENT MADISON COUNTY HEALTH SYSTEM
Authorized official
MR. DANTE O PHILLIPS (DIRECTOR)
(765) 683-3201
Entity
Organization
Contact information
Practice address
8401 HARCOURT RD, #3011, INDIANAPOLIS, IN 46260-2036
(317) 338-4803
(317) 338-4917
Mailing address
2015 JACKSON ST, RM 248, ANDERSON, IN 46016-4337
(765) 683-3201
(765) 646-8625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000167A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200408950A
—
IN
Enumeration date
01/12/2007
Last updated
12/20/2011
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