National Provider Identifier Database

ST VINCENT PHYSICIAN NETWORK LLC
Rural Health


Contact Information

ST. VINCENT PHYSICIAN NETWORK, LLC
105 EAST 2ND STREET
RIDGEVILLE, IN47380-1325
Phone: 765-857-2523
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family 363LF0000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Nurse Practitioner 363L00000X
Obstetrics & Gynecology 207V00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for ST. VINCENT PHYSICIAN NETWORK, LLC

NPI Number 1285731737
Legal business name
LBN
ST. VINCENT PHYSICIAN NETWORK, LLC
Authorized official KEVIN MCANDREWS - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/19/2006
Last updated 08/10/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200817010
  • IN Other: 15-3880 MEDICARE PART A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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