Organization
ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC.
Active
Other names
St. Vincent Children's Specialty Hospital, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF POLTAWSKY (ADMINISTRATOR)
(317) 415-5522
Entity
Organization
Contact information
Practice address
1707 W. 86TH ST., INDIANAPOLIS, IN 46240
(317) 415-5500
(317) 415-5595
Mailing address
1707 W. 86TH ST., INDIANAPOLIS, IN 46240
(317) 415-5500
(317) 415-5595
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
IN
Other
Enumeration date
06/08/2006
Last updated
10/16/2007
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