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Organization

ST. MARY'S HEALTH, INC

Active
Other names
St. Vincent Evansville Medical Center, Ascension St. Vincent Evansville
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN MORRIS (CFO)
(317) 338-6234
Entity
Organization

Contact information

Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47750-0001
(812) 485-4000
Mailing address
PO BOX 13058, BELFAST, ME 04915-4021
(317) 583-3022
(317) 583-2199

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
2080P0214X
Pediatric Pulmonology Physician
2084N0400X
Neurology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
208800000X
Urology Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
363L00000X
Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100180890
IN
01
65944266
KENTUCKY MEDICAID GROUP #
IN
05
7100099370
KY
Enumeration date
05/15/2006
Last updated
09/30/2021
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