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ST. VINCENT PHYSICIAN NETWORK LLC NPI 1902903453


NPI Information

NPI: 1902903453
Provider Name: ST. VINCENT PHYSICIAN NETWORK, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
409 EAST GREENVILLE AVENUE
WINCHESTER, IN
ZIP 47394
Phone: (765) 584-0480
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ST. VINCENT PHYSICIAN NETWORK, LLC is a rural health clinic center in Winchester, IN. ST. VINCENT PHYSICIAN NETWORK, LLC NPI is 1902903453. The provider is registered as an organization entity type.

The provider's business location address is:

409 EAST GREENVILLE AVENUE
WINCHESTER, IN
ZIP 47394-436
Phone: (765) 584-0480

The provider's authorized official is Kevin Mcandrews .
The authorized official title is Vice President and has the following contact phone number (317) 583-3194.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 8/10/2011.


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
1261QR1300XClinic/CenterRural HealthYes

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
1153881MEDICARE OSCAR/CERTIFICATIONINDIANA
2236600MEDICARE PININDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.