ST. VINCENTS SPORTS PERFORMANCE NPI 1356698187

NPI Information

ST. VINCENTS SPORTS PERFORMANCE is a special hospital in Indianapolis, IN. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. ST. VINCENTS SPORTS PERFORMANCE NPI is 1356698187. The provider is registered as an organization entity type.

The provider's business location address is:

8227 NORTHWEST BLVD
SUITE 160
INDIANAPOLIS, IN
ZIP 46278-387
Phone: (317) 415-5795

The provider's authorized official is Michael Timothy Sahm .
The authorized official title is Athletic Trainer and has the following contact phone number (317) 787-8277.

The enumeration date for this NPI number is 8/10/2012 and was last updated on 8/10/2012.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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