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ST. VINCENT PHYSICIAN NETWORK, LLC

Rural Health

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Contact Information

ST. VINCENT PHYSICIAN NETWORK, LLC
105 EAST 2ND STREET
RIDGEVILLE, IN  47380-1325
 Phone: 765-857-2523
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rural Health

 261QR1300X B4[14] Rural Health Clinic
 

Family

 363LF0000X 50 Nurse Practitioner
 

Family Medicine

 207Q00000X 08 Physician/Family Practice
 

Internal Medicine

 207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

 207V00000X 16 Physician/Obstetrics & Gynecology
 

Pediatrics

 208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI Number 1285731737
LBN Legal business name ST. VINCENT PHYSICIAN NETWORK, LLC
Authorized official KEVIN MCANDREWS - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2006
Last updated 08/10/2011 - About 15 years ago
Identifiers
IN Medicaid 200817010
IN Other 15-3880 MEDICARE PART A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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