Organization
ST MARY MEDICAL CENTER INC
Active
Parent organization
ST MARY MEDICAL CENTER INC
Other names
St Mary Wound Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARY MEDICAL CENTER INC
Authorized official
MRS. CHAR KULLERSTRAND (REGIONAL DIRECTOR)
(219) 934-8999
Entity
Organization
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 947-6448
(219) 947-6839
Mailing address
1600 S LAKE PARK AVE, STE 1103, HOBART, IN 46342-6641
(219) 947-6448
(219) 947-6839
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060057861
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031870
—
IN
Enumeration date
09/01/2006
Last updated
07/11/2024
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