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ST. MARY'S HEALTH INC NPI 1558819599


NPI Information

NPI: 1558819599
Provider Name: ST. MARY'S HEALTH, INC

Doing Business As: ASCENSION ST. VINCENT EVANSVILLE

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
100 S ROSENBERGER AVE
SUITE A310
EVANSVILLE, IN
ZIP 47712
Phone: (812) 433-2030
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ST. MARY'S HEALTH, INC is a physiological laboratory in Evansville, IN. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. ST. MARY'S HEALTH, INC NPI is 1558819599. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension St. Vincent Evansville.

The provider's business location address is:

100 S ROSENBERGER AVE
SUITE A310
EVANSVILLE, IN
ZIP 47712-591
Phone: (812) 433-2030
Fax: (812) 433-2039

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

The enumeration date for this NPI number is 9/20/2016 and was last updated on 8/6/2020.


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
1293D00000XPhysiological LaboratoryYes

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
1300000257MEDICAIDINDIANA

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: 5/5/2024

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