Organization
ST MARY MEDICAL CENTER INC
Active
Parent organization
ST MARYS MEDICAL CENTER INC
Other names
Innovative Womens Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARYS MEDICAL CENTER INC
Authorized official
JANICE RYBA (CEO)
(219) 942-0551
Entity
Organization
Contact information
Practice address
10607 RANDOLPH ST, STE C, CROWN POINT, IN 46307-7505
(219) 663-1841
(219) 663-1846
Mailing address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 226-2203
(219) 226-2202
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200966140A
—
IN
05
—
200966140B
—
IN
Enumeration date
09/23/2009
Last updated
07/11/2024
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