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St Marys Health, Inc.

Organization Active NPI Air Ambulance · Evansville, IN

NPI 1720115264 · NPPES record last updated Aug 6, 2020

Key facts

NPI
1720115264
Entity type
Organization (NPI type 2)
Primary specialty
Air Ambulance 3416A0800X
License
0319 (IN)
Legal business name
ST MARYS HEALTH, INC.
Practice address
3700 Washington Ave
Evansville, IN 47750-0001
Phone
(812) 485-4000
Fax
(812) 485-6839
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

Name
Mr. Dan Parod
Title
Interim President
Phone
(812) 485-1502

Corporate family (same tax ID) 23

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

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 0319 IN Yes

Addresses

Primary practice location

3700 Washington Ave
Evansville, IN 47750-0001

Mailing address

3700 Washington Ave
Evansville, IN 47750-0001
Phone (812) 485-4000

Other identifiers

IdentifierTypeStateIssuer
200472310AMedicaidIN
55000293MedicaidKY

Other names

  • Ascension St. Vincent Evansville Doing business as
  • St. Vincent Evansville Lifeflight Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2020.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1720115264",
    "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": "477500001",
            "telephone_number": "812-485-4000",
            "fax_number": "812-485-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477500001",
            "telephone_number": "812-485-4000",
            "fax_number": "812-485-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "PAROD",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "INTERIM PRESIDENT",
        "authorized_official_telephone_number": "812-485-1502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IN",
            "license": "0319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200472310A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000293",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Evansville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Vincent Evansville Lifeflight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

All providers in Evansville, IN · Air Ambulance in Indiana

Sources for this page

Verify at the official NPI Registry.