Organization
ST. MARY'S PHYSICIAN NETWORK LLC.
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up