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
1684 BUSH LN, #100, CRAWFORDSVILLE, IN 47933
(765) 365-9500
Mailing address
10330 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
02/12/2020
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