Saint John'S Health System
Organization Active NPI Family Medicine Physician · Pendleton, IN
NPI 1487760849 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487760849
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SAINT JOHN'S HEALTH SYSTEM
- Practice address
- 75 Village Dr
Pendleton, IN 46064-8960 - Phone
- (765) 778-0913
- Fax
- (765) 778-1374
- 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
National Provider Directory
- Tax ID family
- Patrick M McGill MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
75 Village Dr
Pendleton, IN 46064-8960
Mailing address
75 Village Dr
Pendleton, IN 46064-8960
Phone (765) 778-0913
Other names
- Pendleton Family Practice Center
Other providers in Pendleton, IN
- Michael Troy Rich
- Riverview Hospital
- Mary F Robinson
- Logan Royce
- Stephanie Jane Russ
- Amelia Lee Savage
- Brooke Schaefer
- Constance Schultz-Heinz
- Alvin G Sehkar
- Simply Nursing LLC
All providers in Pendleton, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.