St. Vincent Madison County Health System, Inc.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.

Practice address

7408 W State Road 28
Elwood, IN 46036-8600

Phone

(765) 557-2245

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By the provider in NPPES

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) 583-3087

Specialties & licenses 1

Addresses

Other names 1

• Mercy Occupational Health Other name

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1790969467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 W STATE ROAD 28",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460368600",
            "telephone_number": "765-557-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "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": "317-583-3087"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Occupational Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolyn P Smith, LMHC
• Gail L Smith, LCSW LMFT LCAC ACSW
• Mina Soliman
• St. Vincent Madison County Health System, Inc (St. Vincent Mercy Hospital)
• St. Vincent Madison County Health System, Inc.
• St. Vincent Madison County Health System, Inc. (St. Vincent Mercy Hospital (Swing Bed Program))
• St. Vincent Medical Group, Inc.
• Megan Stowers
• Jessica Tharp, M.S.,P.T.
• The Center for Mental Health Inc

• Occupational Medicine Physician in Elwood, IN
• Providers in Elwood, IN by specialty
• Occupational Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.