ST. VINCENT PEDIATRIC REHABILITATION CENTER INC. NPI 1245270834

NPI Information

ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC. is a children general acute care hospital in Indianapolis, IN. ST. VINCENT PEDIATRIC REHABILITATION CENTER, INC. NPI is 1245270834. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St. Vincent Children's Specialty Hospital, Inc..

The provider's business location address is:

1707 W. 86TH ST.
INDIANAPOLIS, IN
ZIP 46240
Phone: (317) 415-5500
Fax: (317) 415-5595

The provider's authorized official is Jeff Poltawsky .
The authorized official title is Administrator and has the following contact phone number (317) 415-5522.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 10/16/2007.

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:

Other Identifiers

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