NPIMap

Organization Active NPI

St. Vincent Physician Network LLC

  • Rural Health Clinic/Center
  • North Vernon, IN
National Provider Identifier
1124253901
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST. VINCENT PHYSICIAN NETWORK LLC
Practice address
301 Henry St
BLDG B
North Vernon, IN 47265-1030
Phone
(812) 352-4300
NPI assigned
May 21, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. D. Bruce Haga
Title
Vice President
Phone
(317) 583-3079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

301 Henry St
BLDG B
North Vernon, IN 47265-1030

Mailing address

10330 N Meridian St
Ste 300
Indianapolis, IN 46290-1024
Phone (317) 583-3079

National Provider Directory

National Provider Directory
Tax ID family
St Vincent Medical Group Inc45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2012 S Park Ave
Alexandria, IN 46001
Phone (765) 724-6226

141 W 22nd St
Ste 215
Anderson, IN 46016
Phone (765) 644-3673

2020 Meridian St
Ste 220
Anderson, IN 46016
Phone (765) 683-3158

2101 Jackson St
Ste 11
Anderson, IN 46016
Phone (765) 608-2630

2101 Jackson St
Ste 210
Anderson, IN 46016
Phone (765) 608-2630

10330 N Meridian St
Ste 300
Carmel, IN 46290

14828 Greyhound Ct
Ste 190
Carmel, IN 46032
Phone (317) 582-9000

11201 USA Pkwy
#355
Fishers, IN 46037
Phone (317) 913-8100

1201 Oak St
#B
Frankfort, IN 46041
Phone (765) 656-3950

1201 Oak St
#D
Frankfort, IN 46041
Phone (765) 656-3950

1201 Oak St
#H
Frankfort, IN 46041
Phone (765) 656-3950

1201 Oak St
#I
Frankfort, IN 46041
Phone (765) 656-3900

1258 Oak St
#I
Frankfort, IN 46041
Phone (765) 656-3430

1309 S Jackson St
Frankfort, IN 46041
Phone (765) 654-8531

1458 Oak St
#D
Frankfort, IN 46041
Phone (765) 656-3860

1458 Oak St
Ste A
Frankfort, IN 46041
Phone (765) 656-3870

2 E White St
Frankfort, IN 46041
Phone (317) 654-5525

712 W Main St
Greentown, IN 46936
Phone (765) 628-3317

4 Rebel Dr
Lynn, IN 47355
Phone (765) 874-2390

9660 E 146th St
Ste 200
Noblesville, IN 46060
Phone (317) 415-5850

301 Henry St
Bldg B
North Vernon, IN 47265
Phone (812) 352-2475

350 Jh Walker Dr
Pendleton, IN 46064
Phone (765) 778-0000

380 JH Walker Dr 100
Pendleton, IN 46064
Phone (765) 778-7509

505 W Homer St
Ste 102
Salem, IN 47167
Phone (812) 882-8525

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1124253901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024",
            "telephone_number": "317-583-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HENRY ST",
            "address_2": "BLDG B",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651030",
            "telephone_number": "812-352-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT PHYSICIAN NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "HAGA",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.