Organization
ST. VINCENT MEDICAL GROUP, INC.
Active
Other names
Ascension Medical Group St. Vincent
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MORRIS (CFO)
(317) 338-6234
Entity
Organization
Contact information
Practice address
1300 INNOVATION PARKWAY, #150, GREENWOOD, IN 46143-3625
(317) 583-4410
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
02/12/2020
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