| St. Mary's Physician Network Llc. | |
|
3700 Washington Avenue Evansville IN 47750-0001 | |
| (812) 485-1220 | |
| Not Available |
| Full Name | St. Mary's Physician Network Llc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 Washington Avenue, Evansville, Indiana |
| Authorized Official Name and Position | Kimberly Hodgkinson (CFO) |
| Authorized Official Contact | 8124854000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Physician Network Llc. Po Box 359 Evansville IN 47703-0359 Ph: (812) 485-1220 | St. Mary's Physician Network Llc. 3700 Washington Avenue Evansville IN 47750-0001 Ph: (812) 485-1220 |
| NPI Number | 1639114143 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639114143 | NPI | - | NPPES |
| 200829650 | Medicaid | IN | |
| DF3251 | Other | IN | RR MEDICARE GRP# |
| 65945420 | Medicaid | KY |
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