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ST MARY MEDICAL CENTER INC NPI 1609188598


NPI Information

NPI: 1609188598
Provider Name: ST MARY MEDICAL CENTER INC

Other Name: INNOVATIVE WOMENS HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
850 MARSH STREET
SUITE C
VALPARAISO, IN
ZIP 46385
Phone: (219) 462-3377
Get Directions

ST MARY MEDICAL CENTER INC is an obstetrics gynecology in Valparaiso, 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 MARY MEDICAL CENTER INC NPI is 1609188598. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Innovative Womens Health.

The provider's business location address is:

850 MARSH STREET
SUITE C
VALPARAISO, IN
ZIP 46385-239
Phone: (219) 462-3377
Fax: (219) 464-4530

The provider's authorized official is Janice Ryba .
The authorized official title is Ceo and has the following contact phone number (219) 942-0551.

The enumeration date for this NPI number is 7/8/2010 and was last updated on 7/8/2010.


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
1363L00000XNurse PractitionerNo
2207V00000XObstetrics & 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1263440MEDICARE PININDIANA
2200966140MEDICAIDINDIANA

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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