St. Vincent Physician Network, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ST. VINCENT PHYSICIAN NETWORK, LLC

Practice address

900 N Columbia St
Union City, IN 47390-9496

Phone

(765) 964-6200

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

D Bruce Haga

Title

Vice President

Phone

(317) 338-7425

Specialties & licenses 1

Addresses

Tax ID family

St Vincent Physician Network LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• St. Vincent Physician Network

  • Occupational Medicine Physician
  • Frankfort, IN
  • NPI 1245413004
  NPD tax ID
• St. Vincent Physician Network, LLC

  • Primary Care Clinic/Center
  • Ridgeville, IN
  • NPI 1063587400
  NPD tax ID
• St. Vincent Physician Network, LLC

  • Primary Care Clinic/Center
  • Lynn, IN
  • NPI 1073688412
  NPD tax ID
• St. Vincent Physician Network, LLC

  • Primary Care Clinic/Center
  • Winchester, IN
  • NPI 1982779328
  NPD tax ID
• St. Vincent Randolph Hospital, Inc.

  • Critical Access Hospital
  • Winchester, IN
  • NPI 1609826783
  NPD tax ID

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245305226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9588 VALPARAISO CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N COLUMBIA ST",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473909496",
            "telephone_number": "765-964-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "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": "317-338-7425"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Snider, RPH
• Lorenzo D Somma, MD
• St Vincent Randolph Hospital
• St. Vincent Medical Group, Inc.
• St. Vincent Physician Network, LLC
• Christopher L Stamm, MBA,MSW,LCSW
• Shaunessy Michelle Stamm, LSW
• Jeremiah Strunc
• Dorothy S Tyo, MAT, LAT, ATC
• Walgreen Co

• Primary Care Clinic/Center in Union City, IN
• Providers in Union City, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.