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St Francis Medical Group Mooresville

Pediatrics in Mooresville, IN. Organization (NPI-2).

NPI number1831366467
StatusActive
Last updated in NPPESNov 6, 2014

Details

NPI
1831366467
Entity type
Organization (NPI-2)
Legal business name
St Francis Medical Group Mooresville
Organization subpart
No
Enumeration date
May 13, 2008
Last updated
Nov 6, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

1201 Hadley Rd
Mooresville, IN 46158-1737

Phone 317-528-4800 · Fax 317-865-1479

Mailing address

Po Box 781076
Detroit, MI 48278-1076

Phone 317-528-4800 · Fax 317-865-1479

Authorized official

Brad Joubert
Ambulatory Business Office Director
3175284291

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Mooresville, IN

All 8 Pediatrics Physician providers in Mooresville · All 343 providers in Mooresville

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