Organization
ST. VINCENT MEDICAL GROUP, INC.
Active
Other names
Ascension Medical Group St. Vincent
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MORRIS (CFO)
(317) 338-6234
Entity
Organization
Contact information
Practice address
409 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0480
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
02/14/2012
Last updated
02/12/2020
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