Organization
ST CATHERINE PHYSICIAN SERVICES, LLC
Active
Parent organization
SAINT CATHERINE PHYSICIANS SERVICES, LLC
Other names
Saint Catherine Medical Group, MSO
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT CATHERINE PHYSICIANS SERVICES, LLC
Authorized official
MS. ROSIE M. TAULBEE (PHYSICIAN PRACTICE ADMINISTRATOR)
(812) 256-7436
Entity
Organization
Contact information
Practice address
2100 MARKET ST., SUITE 100, CHARLESTOWN, IN 47111-9535
(812) 256-9714
(812) 256-9702
Mailing address
2100 MARKET ST., SUITE 100, CHARLESTOWN, IN 47111-9535
(812) 256-9714
(812) 256-9702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01027298A
IN
207RP1001X
Pulmonary Disease Physician
01028535A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000549974
ANTHEM BC/BS
IN
01
—
B28860
UPIN
IN
Enumeration date
12/12/2007
Last updated
06/20/2012
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