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
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 Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Member of 1

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

Locations

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

4778 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 646-6331

2516 Q St
Bedford, IN 47421
Phone (812) 275-4228

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

13250 Hazel Dell Pkwy
Carmel, IN 46033
Phone (317) 415-6900

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

9795 E 116th St
Fishers, IN 46037
Phone (317) 913-8100

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

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

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

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

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

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

809 W Freeman St
Frankfort, IN 46041
Phone (765) 654-8783

1201 Oak St
#D
Frankfort, IN 46041
Phone (765) 656-3960

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

1001 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 259-7777

301 Henry St
#B
North Vernon, IN 47265
Phone (812) 352-4300

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.

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.