St. Vincent Medical Group, Inc.

Organization Active NPI Clinic Pharmacy · Elwood, IN

NPI 1124459573 · NPPES record last updated Dec 12, 2013

Key facts

NPI
1124459573
Entity type
Organization (NPI type 2)
Primary specialty
Clinic Pharmacy 3336C0002X
Legal business name
ST. VINCENT MEDICAL GROUP, INC.
Practice address
7408 W State Road 28
Suite 1
Elwood, IN 46036-8600
Phone
(765) 557-2240
NPI assigned
Dec 11, 2013
Organization subpart
Yes
Parent organization (as reported)
ST. VINCENT MEDICAL GROUP, INC.

Authorized official

Name
Bradley McNabb
Title
Chief Operating Officer
Phone
(317) 583-3078

Corporate family (same tax ID) 43

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

View all 43

National Provider Directory

Tax ID family
St Vincent Medical Group Inc (44 organizations share this tax ID)
Part of
St Vincent Medical Group Inc

Locations

7408 W State Road 28
Ste 1
Elwood, IN 46036
Phone (765) 501-8566

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X IN Yes

Addresses

Primary practice location

7408 W State Road 28
Suite 1
Elwood, IN 46036-8600

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
Phone (317) 583-3078

Other names

  • Red Gold Clinic Other name

Other providers in Elwood, IN

All providers in Elwood, IN · Clinic Pharmacy in Indiana

Sources for this page

Verify at the official NPI Registry.