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ST. VINCENT MEDICAL GROUP INC. NPI 1376816975


NPI Information

NPI: 1376816975
Provider Name: ST. VINCENT MEDICAL GROUP, INC.

Doing Business As: ASCENSION MEDICAL GROUP ST. VINCENT

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 15D0886880

Address:
301 HENRY ST
NORTH VERNON, IN
ZIP 47265
Phone: (812) 352-4300
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ST. VINCENT MEDICAL GROUP, INC. is a rural health clinic center in North Vernon, IN. ST. VINCENT MEDICAL GROUP, INC. NPI is 1376816975. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension Medical Group St. Vincent.

The provider's business location address is:

301 HENRY ST
NORTH VERNON, IN
ZIP 47265-030
Phone: (812) 352-4300

The provider's authorized official is Brian Morris .
The authorized official title is Cfo and has the following contact phone number (317) 338-6234.

The CLIA number assigned to this NPI record is 15D0886880 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/14/2012 and was last updated on 2/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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