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Organization

ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER

Active
Parent organization
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Other names
ST VINCENT PHYSICIAN SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Authorized official
BRIAN MORRIS (CFO (SVMG))
(317) 338-6234
Entity
Organization

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2273
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
152W00000X
Optometrist
207Q00000X
Family Medicine Physician
Primary
207QS0010X
Sports Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RS0010X
Sports Medicine (Internal Medicine) Physician
207V00000X
Obstetrics & Gynecology Physician
207VX0201X
Gynecologic Oncology Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100055800A
IN
05
100055800B
IN
05
100055800C
IN
05
100055800D
IN
05
100055800E
IN
05
100055800F
IN
05
100055800G
IN
05
100345550A
IN
05
200802910A
IN
05
200827600A
IN
05
200827600B
IN
05
200827600C
IN
Enumeration date
05/12/2006
Last updated
10/07/2021
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