Organization
ST MARYS MEDICAL GROUP, LLC
Active
Other names
Ascension Medical Group St. Vincent Evansville, St Vincent Evansville Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MORRIS (CFO (SVMG))
(317) 338-6234
Entity
Organization
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-4000
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
(317) 583-3022
(317) 583-2199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084N0400X
Neurology Physician
—
IN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
IN
2084P0800X
Psychiatry Physician
Primary
—
IN
Other
Enumeration date
10/20/2014
Last updated
10/06/2021
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