SUMMIT MEDICAL GROUP INC. NPI 1215770375

NPI Information

  • NPI: 1215770375
  • Provider Name: SUMMIT MEDICAL GROUP, INC.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • Address: 1035 WEST MAIN STREET
    VEVAY, IN
    ZIP 47043
  • Phone: (812) 496-8786

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NPI Details

SUMMIT MEDICAL GROUP, INC. is a rural health clinic center in Vevay, IN. SUMMIT MEDICAL GROUP, INC. NPI is 1215770375. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1035 WEST MAIN STREET
VEVAY, IN
ZIP 47043-126
Phone: (812) 496-8786

The provider's authorized official is Maria Rankin .
The authorized official title is Avp- Revenue Cycle and has the following contact phone number (859) 344-5555.

The enumeration date for this NPI number is 6/17/2024 and was last updated on 6/10/2025.

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
1204D00000XNeuromusculoskeletal Medicine & OMMNo
2207Q00000XFamily MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207R00000XInternal MedicineNo
5207RG0100XInternal MedicineGastroenterologyNo
6207RS0010XInternal MedicineSports MedicineNo
7208000000XPediatricsNo
82080S0010XPediatricsSports MedicineNo
92083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo
12363LF0000XNurse PractitionerFamilyNo
13261QR1300XClinic/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: 3/30/2025

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