NPIMap

Organization Active NPI

St Mary's Medical Center of Evansville, Inc

Doing business as Occupational Medicine Clinic

  • Occupational Medicine Clinic/Center
  • Evansville, IN
National Provider Identifier
1144434473
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
ST MARY'S MEDICAL CENTER OF EVANSVILLE, INC
Doing business as
Occupational Medicine Clinic
Practice address
14020 Old State Rd
Evansville, IN 47725-1121
Phone
(812) 485-6900
Fax
(812) 485-6909
NPI assigned
May 9, 2007
Last updated
Nov 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Brian Morris
Title
Cfo
Phone
(317) 338-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

14020 Old State Rd
Evansville, IN 47725-1121

Mailing address

801 St. Mary's Drive
Suite 406E
Evansville, IN 47714
Phone (812) 485-6900

Other names 1

  • Occupational Medicine Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Medical Center of Evansville24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

801 Saint Marys Dr
Ste 406E
Evansville, IN 47714
Phone (812) 479-1511

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1144434473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ST. MARY'S DRIVE",
            "address_2": "SUITE 406E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-485-6900",
            "fax_number": "812-485-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 OLD STATE RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251121",
            "telephone_number": "812-485-6900",
            "fax_number": "812-485-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S MEDICAL CENTER OF EVANSVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Occupational Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.