NPIMap

St Marys Health Inc

Organization Active NPI Community/Retail Pharmacy · Newburgh, IN

NPI 1366082695 · NPPES record last updated Sep 9, 2020

Key facts

NPI
1366082695
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
ST MARYS HEALTH INC
Practice address
100 St Marys Epworth Xing
Newburgh, IN 47630-9497
Phone
(812) 485-4695
Fax
(812) 485-7984
NPI assigned
Jan 15, 2020
Organization subpart
No

Authorized official

Name
Daniel Allen Parod
Title
President
Phone
(812) 485-1509

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 23

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

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200622001264 IN DME Supplier - Pharmacy 9133023898 Practice locations: Newburgh, IN
O20200917000090 IN Part B Supplier - Pharmacy 9133023898 Practice locations: Newburgh, IN

National Provider Directory

Tax ID family
St Marys Med Ctr (24 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

100 St Marys Epworth Xing
Newburgh, IN 47630-9497

Mailing address

250 W 96TH St Ste 520
Indianapolis, IN 46260-1317

Other names

  • Ascension St. Vincent Epworth Pharmacy Doing business as

Other providers in Newburgh, IN

All providers in Newburgh, IN · Community/Retail Pharmacy in Indiana

Sources for this page

Verify at the official NPI Registry.