Organization
ST. MARY'S AT HOME INC
Active
Other names
St. Mary's Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY J HALL RN, MSN (VICE PRESIDENT)
(812) 485-4600
Entity
Organization
Contact information
Practice address
6840 LOGAN DR, STE E, EVANSVILLE, IN 47715-8253
(812) 485-4600
(812) 485-6513
Mailing address
6840 LOGAN DR, STE E, EVANSVILLE, IN 47715-8253
(812) 485-4600
(812) 485-6513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
050070351
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247940A
—
IN
Enumeration date
07/29/2005
Last updated
12/12/2013
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