St. Mary'S Health, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ST. MARY'S HEALTH, INC.

Practice address

3277 Liberty Blvd
Ste a
Boonville, IN 47601-9659

Phone

(812) 897-8500

Fax

(812) 897-8510

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Roxanne Jarvis

Title

Billing Coordinator

Phone

(812) 485-7930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Vincent Evansville Urgent Care -Boonville Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St. Mary'S Health Inc

  • Urgent Care Clinic/Center
  • Evansville, IN
  • NPI 1336142397

  O20031124000522

  Same enrollment
• St. Mary'S Health, Inc

  • Physical Therapy Clinic/Center
  • Evansville, IN
  • NPI 1023556305

  O20031124000522

  Same enrollment
• St. Mary'S Health, Inc

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287

  O20031124000522

  Same enrollment
• St. Mary'S Health, Inc

  • Urgent Care Clinic/Center
  • Evansville, IN
  • NPI 1568913101

  O20031124000522

  Same enrollment
• St. Mary'S Health, Inc

  • Hematology & Oncology Physician
  • Newburgh, IN
  • NPI 1952101214

  O20031124000522

  Same enrollment

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1366844334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47750",
            "telephone_number": "812-485-6940",
            "fax_number": "812-485-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 LIBERTY BLVD",
            "address_2": "STE A",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476019659",
            "telephone_number": "812-897-8500",
            "fax_number": "812-897-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "812-485-7930",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200394440B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Evansville Urgent Care -Boonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Boonville, IN
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.