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ST MARY'S OHIO VALLEY HEART CARE LLC NPI 1669780029


NPI Information

NPI: 1669780029
Provider Name: ST MARY'S OHIO VALLEY HEART CARE, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714
Phone: (812) 473-2642
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ST MARY'S OHIO VALLEY HEART CARE, LLC is a cardiovascular disease internal medicine in Evansville, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ST MARY'S OHIO VALLEY HEART CARE, LLC NPI is 1669780029. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714-520
Phone: (812) 473-2642

The provider's authorized official is Brandon Enfinger .
The authorized official title is Executive Director and has the following contact phone number (812) 473-3754.

The enumeration date for this NPI number is 9/20/2010 and was last updated on 3/3/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyNo
2208600000XSurgeryNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
4363LA2100XNurse PractitionerAcute CareNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LF0000XNurse PractitionerFamilyNo
7364S00000XClinical Nurse SpecialistNo
8207RC0000XInternal MedicineCardiovascular DiseaseYes

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: 4/28/2024

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