Saint John'S Health System

Organization Active NPI Family Medicine Physician · Alexandria, IN

NPI 1154437531 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1154437531
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
SAINT JOHN'S HEALTH SYSTEM
Practice address
2012 S Park Ave
Alexandria, IN 46001-8194
Phone
(765) 724-6226
Fax
(765) 724-6228
NPI assigned
Aug 21, 2006
Organization subpart
No

Authorized official

Name
James W Moore
Title
Executive Vice President
Phone
(765) 646-8105

Corporate family (same tax ID) 6

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

National Provider Directory

Tax ID family
Patrick M McGill MD (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

2012 S Park Ave
Alexandria, IN 46001-8194

Mailing address

2012 S Park Ave
Alexandria, IN 46001-8194
Phone (765) 724-6226

Other names

  • Alexandria Health Center Doing business as

Other providers in Alexandria, IN

All providers in Alexandria, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.