ST. MARY'S WARRICK HOSPITAL INC. NPI 1508026402

NPI Information

NPI: 1508026402
Provider Name: ST. MARY'S WARRICK HOSPITAL, INC.

Other Name: ER PHYSICIANS GROUP

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1116 MILLIS AVE
BOONVILLE, IN
ZIP 47601
Phone: (812) 897-4800
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ST. MARY'S WARRICK HOSPITAL, INC. is a diagnostic radiology radiology in Boonville, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST. MARY'S WARRICK HOSPITAL, INC. NPI is 1508026402. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Er Physicians Group.

The provider's business location address is:

1116 MILLIS AVE
BOONVILLE, IN
ZIP 47601-226
Phone: (812) 897-4800
Fax: (812) 897-7375

The provider's authorized official is Daniel Parod .
The authorized official title is Ceo and has the following contact phone number (812) 485-1502.

The enumeration date for this NPI number is 6/13/2008 and was last updated on 11/10/2020.

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
1	207P00000X	Emergency Medicine		07-005111-1	INDIANA	No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes
3	282NC0060X	General Acute Care Hospital	Critical Access	07-005111-1	INDIANA	No

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
1	032184200	OTHER	INDIANA	FEDERAL BLACK LUNG
2	1341114	MEDICAID	KENTUCKY
3	200043160	MEDICAID	INDIANA
4	I013944	OTHER	INDIANA	CHAMPUS
5	000000054351	OTHER	INDIANA	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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