Organization
SAINT JOHN'S HEALTH SYSTEM
Active
Other names
Med One South Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W MOORE (EXECUTIVE VICE PRESIDENT)
(765) 646-8105
Entity
Organization
Contact information
Practice address
4925 S SCATTERFIELD RD, ANDERSON, IN 46013-2911
(765) 646-6331
(765) 641-2593
Mailing address
4925 S SCATTERFIELD RD, ANDERSON, IN 46013-2911
(765) 646-6331
(765) 641-2593
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
12/31/2007
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