| St. Mary Medical Center | |
|
2241 45th St Highland IN 46322-2601 | |
| (219) 738-1736 | |
| Not Available |
| Full Name | St. Mary Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2241 45th St, Highland, Indiana |
| Authorized Official Name and Position | Mary F Sudicky (CFO) |
| Authorized Official Contact | 2199420551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary Medical Center 164 Bracken Pkwy Hobart IN 46342-6789 Ph: (219) 947-6780 | St. Mary Medical Center 2241 45th St Highland IN 46322-2601 Ph: (219) 738-1736 |
| NPI Number | 1700921541 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700921541 | NPI | - | NPPES |
| 200339190 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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