ST. VINCENTS SPORTS PERFORMANCE; NPI #1356698187

Contact Information

ST. VINCENTS SPORTS PERFORMANCE

8227 NORTHWEST BLVD
SUITE 160
INDIANAPOLIS, IN 46278-1387

Phone: 317-415-5795
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Special Hospital	284300000X	A0[7]	Hospital-Specialty Hospital (cardiac, orthopedic, surgical)

Indicates primary specialty

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NPI Profile & details for ST. VINCENTS SPORTS PERFORMANCE

NPI # 1356698187

LBN Legal business name ST. VINCENTS SPORTS PERFORMANCE

Authorized official MICHAEL SAHM - (ATHLETIC TRAINER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2012

Last updated 08/10/2012 - About 14 years ago

Identifiers

IN	License #	36000279A
IN	Other	36000279A	2255A2300X-SPECIALIST/TECHNOLOGIST- ATHLETIC TRAINER

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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ST. VINCENTS SPORTS PERFORMANCE

Contact Information

Specialty

Special Hospital

NPI Profile & details for ST. VINCENTS SPORTS PERFORMANCE

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