Organization
ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC
Active
Other names
Bellemeade Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN KEIL (OPERATIONS MANAGER)
(812) 485-1827
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE, SUITE 200-C, EVANSVILLE, IN 47714-0100
(812) 485-1717
Mailing address
3801 BELLEMEADE AVE, SUITE 200-C, EVANSVILLE, IN 47714-0100
(812) 485-1717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200903430B
—
IN
Enumeration date
06/19/2008
Last updated
09/12/2011
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