SAINT JOHN HEALTH SYSTEM NPI 1396773461

NPI Information

  • NPI: 1396773461
  • Provider Name: SAINT JOHN HEALTH SYSTEM
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: ANDERSON FAMILY PRACTICE
  • Address: 141 W 22ND ST
    ANDERSON, IN
    ZIP 46016
  • Phone: (765) 641-7100

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NPI Details

SAINT JOHN HEALTH SYSTEM is a family medicine in Anderson, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAINT JOHN HEALTH SYSTEM NPI is 1396773461. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Anderson Family Practice.

The provider's business location address is:

141 W 22ND ST
ANDERSON, IN
ZIP 46016-304
Phone: (765) 641-7100
Fax: (765) 641-7115

The provider's authorized official is D Bruce Haga .
The authorized official title is Vice President and has the following contact phone number (317) 583-3087.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 12/3/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5363L00000XNurse PractitionerNo
6363LF0000XNurse PractitionerFamilyNo
7207Q00000XFamily MedicineYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200408600AMEDICAIDINDIANA
2197630MEDICARE PININDIANA

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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