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ST CLARE HEALTH NETWORK NPI 1447321997


NPI Information

NPI: 1447321997
Provider Name: ST CLARE HEALTH NETWORK

Doing Business As: CRAWFORDSVILLE OBSTETRICS AND GYNECOLOGY

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1630 LAFAYETTE RD
SUITE 200
CRAWFORDSVILLE, IN
ZIP 47933
Phone: (765) 364-9720
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ST CLARE HEALTH NETWORK is an obstetrics gynecology in Crawfordsville, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ST CLARE HEALTH NETWORK NPI is 1447321997. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crawfordsville Obstetrics And Gynecology.

The provider's business location address is:

1630 LAFAYETTE RD
SUITE 200
CRAWFORDSVILLE, IN
ZIP 47933-090
Phone: (765) 364-9720
Fax: (765) 364-9740

The provider's authorized official is Jim Siemers .
The authorized official title is Executive Director and has the following contact phone number (765) 362-3100.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/24/2008.


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
1207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000386762OTHERINDIANAANTHEM PIN
2C14676MEDICARE UPININDIANA
3200214400BMEDICAIDINDIANA

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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