St Mary'S Medical Group, LLC
Clinic/Center, Occupational Medicine in Evansville, IN. Organization (NPI-2).
NPI number1669939617
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1669939617
- Entity type
- Organization (NPI-2)
- Legal business name
- St Mary'S Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2019
- Certification date
- May 13, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – | Yes |
Other names
- St. Vincent Evansville Occupational Medicine (Doing Business As)
Practice location
14020 Old State RdEvansville, IN 47725-1121
Phone 812-485-6900
Mailing address
14020 Old State RdEvansville, IN 47725-1121
Authorized official
Brian Morris
Cfo (Svmg)
3173386234
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