Organization
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Active
Parent organization
ST. VINCENT HEALTH
Other names
ST. VINCENT PEDIATRIC SUBSPECIALTIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT HEALTH
Authorized official
KEVIN MCANDREWS (SYSTEM EXECUTIVE REVENUE CYCLE)
(317) 583-3194
Entity
Organization
Contact information
Practice address
8402 HARCOURT RD, SUITE 402, INDIANAPOLIS, IN 46260-2074
(317) 338-9450
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901000I
—
IN
Enumeration date
04/26/2012
Last updated
04/26/2012
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