NPIMap

Organization Active NPI

St. Vincent Health Wellness and Preventive Care Institute, Inc.

  • Occupational Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1821732058
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC.
Practice address
5629 Lee Rd
Indianapolis, IN 46216-2003
Phone
(317) 419-6800
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Brian Morris
Title
Cfo (Amg)
Phone
(317) 338-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

5629 Lee Rd
Indianapolis, IN 46216-2003

Mailing address

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

Other names 2

  • PALMER TRUCKING LAWRENCE Other name
  • PALMER TRUCKING LAWRENCE BEHAVIORAL HEALTH Other name

National Provider Directory

National Provider Directory
Tax ID family
Ascension St Vincent Wellness22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1821732058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 96TH ST STE 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-419-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO (AMG)",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMER TRUCKING LAWRENCE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PALMER TRUCKING LAWRENCE BEHAVIORAL HEALTH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PALMER TRUCKING LAWRENCE BEHAVIORAL HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.