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ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC. NPI 1609347210


NPI Information

NPI: 1609347210
Provider Name: ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC.

Doing Business As: ASCENSION ST. VINCENT WELLNESS

Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 15D1039031

Address:
6612 E 75TH ST
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 964-2324
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ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC. is a preventive medicine/occupational environmental medicine preventive medicine in Indianapolis, IN. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC. NPI is 1609347210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ascension St. Vincent Wellness.

The provider's business location address is:

6612 E 75TH ST
INDIANAPOLIS, IN
ZIP 46250-875
Phone: (317) 964-2324

The provider's authorized official is Brian Morris .
The authorized official title is Cfo and has the following contact phone number (317) 338-6234.

The CLIA number assigned to this NPI record is 15D1039031 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/7/2018 and was last updated on 2/12/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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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