St. Vincent Physician Network, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ST. VINCENT PHYSICIAN NETWORK, LLC

Practice address

409 E Greenville Ave
Winchester, IN 47394-9436

Phone

(765) 584-0480

NPI assigned

Nov 21, 2006

Organization subpart

Yes

Parent organization

ST VINCENT HEALTHAs reported in NPPES

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

Authorized official

Name

Kevin McAndrews

Title

Vice President

Phone

(317) 583-3194

Specialties & licenses 1

Addresses

Tax ID family

St Vincent Physician Network LLC6 organizations share this tax ID, including this one

Part of

St Vincent Hospital

Other organizations with this tax ID 5

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

• St. Vincent Physician Network

  • Occupational Medicine Physician
  • Frankfort, IN
  • NPI 1245413004
  NPD tax ID
• St. Vincent Physician Network, LLC

  • Primary Care Clinic/Center
  • Ridgeville, IN
  • NPI 1063587400
  NPD tax ID
• St. Vincent Physician Network, LLC

  • Primary Care Clinic/Center
  • Lynn, IN
  • NPI 1073688412
  NPD tax ID
• St. Vincent Physician Network, LLC

  • Primary Care Clinic/Center
  • Union City, IN
  • NPI 1245305226
  NPD tax ID
• St. Vincent Randolph Hospital, Inc.

  • Critical Access Hospital
  • Winchester, IN
  • NPI 1609826783
  NPD tax ID

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1982779328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949436",
            "telephone_number": "765-584-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT HEALTH",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "MCANDREWS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3194"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Vincent Randolph Hospital
• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.
• St. Vincent Physician Network, LLC
• St. Vincent Randolph Hospital, Inc
• St. Vincent Randolph Hospital, Inc.
• St. Vincent Randolph Hospital, Inc.
• Elizabeth Dru Stewart, D.D.S.
• Gail F Stewart, O.D.

• Primary Care Clinic/Center in Winchester, IN
• Providers in Winchester, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.