Organization
ST FRANCIS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BENJAMIN (ADMINISTRATOR)
(317) 893-1860
Entity
Organization
Contact information
Practice address
1040 SIERRA DR, GREENWOOD, IN 46143-7240
(317) 780-3333
(317) 780-3345
Mailing address
PO BOX 664050, INDIANAPOLIS, IN 46266-4056
(317) 780-3333
(317) 780-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IN
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
IN
207R00000X
Internal Medicine Physician
Primary
—
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
IN
207RI0200X
Infectious Disease Physician
—
IN
207RP1001X
Pulmonary Disease Physician
—
IN
207RR0500X
Rheumatology Physician
—
IN
208M00000X
Hospitalist Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268070A
—
IN
Enumeration date
09/14/2011
Last updated
04/13/2018
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