NPIMap

Organization Active NPI

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

Doing business as Ascension St. Vincent Tri State Clinics

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1952941585
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC.
Doing business as
Ascension St. Vincent Tri State Clinics
Ascension St. Vincent Wellness
Practice address
1033 E Mount Pleasant Rd Ste D
Evansville, IN 47725-7149
Phone
(888) 492-8722
Fax
(812) 491-0333
NPI assigned
Jan 11, 2020
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1033 E Mount Pleasant Rd Ste D
Evansville, IN 47725-7149

Mailing address

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

Other names 2

  • Ascension St. Vincent Tri State Clinics Doing business as
  • Ascension St. Vincent Wellness Doing business as

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": "1578700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1952941585",
    "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": "1033 E MOUNT PLEASANT RD STE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257149",
            "telephone_number": "888-492-8722",
            "fax_number": "812-491-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Tri State Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension St. Vincent Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.