Organization
ST. MARY'S PHYSICIAN NETWORK LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HODGKINSON (CFO)
(812) 485-4000
Entity
Organization
Contact information
Practice address
3700 WASHINGTON AVENUE, EVANSVILLE, IN 47750-0001
(812) 485-1220
Mailing address
PO BOX 359, EVANSVILLE, IN 47703-0359
(812) 485-1220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200829650
—
IN
05
—
65945420
—
KY
01
—
DF3251
RR MEDICARE GRP#
IN
Enumeration date
06/18/2006
Last updated
08/17/2018
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