Organization
ST. VINCENT JENNINGS HOSPITAL, INC.
Active
Parent organization
ST. VINCENT JENNINGS HOSPITAL, INC.
Other names
St. Vincent Jennings ER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT JENNINGS HOSPITAL, INC.
Authorized official
KEVIN MCANDREWS (VICE PRESIDENT)
(317) 583-3194
Entity
Organization
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1030
(812) 352-4200
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200846370A
—
IN
Enumeration date
05/16/2006
Last updated
08/11/2011
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