St. Vincent Physician Network, LLC
Organization Active NPI Rural Health Clinic/Center · Lynn, IN
NPI 1124126933 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124126933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ST. VINCENT PHYSICIAN NETWORK, LLC
- Practice address
- 4 Rebel Drive
Lynn, IN 47355-8947 - Phone
- (765) 874-2390
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- D Bruce Haga
- Title
- Vice President
- Phone
- (317) 338-7419
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
4 Rebel Drive
Lynn, IN 47355-8947
Mailing address
9588 Valparaiso Court
Indianapolis, IN 46268
Other providers in Lynn, IN
- Joanne Mary Poole
- Randolph Southern School Corporation
- Reid Physician Associates, Inc.
- St Vincent Randolph Hospital
- St. Vincent Physician Network, LLC
- Alan Leo White
All providers in Lynn, IN · Rural Health Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.