Active NPI
Saint John Health System
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
National Provider Identifier
1215087002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 69000167A
- Legal business name
- SAINT JOHN HEALTH SYSTEM
- Practice address
- 8401 Harcourt Rd
#3011
Indianapolis, IN 46260-2036 - Phone
- (317) 338-4803
- Fax
- (317) 338-4917
- NPI assigned
- Jan 12, 2007
- Organization subpart
- Yes
- Parent organization
- ST.VINCENT MADISON COUNTY HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dante O Phillips
- Title
- Director
- Phone
- (765) 683-3201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 69000167A | IN | Primary |
Addresses
Primary practice location
8401 Harcourt Rd
#3011
Indianapolis, IN 46260-2036
Mailing address
2015 Jackson St
RM 248
Anderson, IN 46016-4337
Phone (765) 683-3201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200408950A | Medicaid | IN |
Other names 1
- Saint Johns Medical Supplies
National Provider Directory
National Provider Directory- Part of
- Patrick M McGill MD
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Kokomo, IN
- NPI 1841366200
Member Of
Locations
8401 Harcourt Rd
#3011
Indianapolis, IN 46260
Phone (317) 338-4803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324339200000",
"number": "1215087002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 JACKSON ST",
"address_2": "RM 248",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164337",
"telephone_number": "765-683-3201",
"fax_number": "765-646-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 HARCOURT RD",
"address_2": "#3011",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602036",
"telephone_number": "317-338-4803",
"fax_number": "317-338-4917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOHN HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST.VINCENT MADISON COUNTY HEALTH SYSTEM",
"enumeration_date": "2007-01-12",
"last_updated": "2011-12-20",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "DANTE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "765-683-3201",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "69000167A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200408950A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Saint Johns Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.