| St. Vincent Physician Network, Llc | |
|
105 East 2nd Street Ridgeville IN 47380-1325 | |
| (765) 857-2523 | |
| Not Available |
| Full Name | St. Vincent Physician Network, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 105 East 2nd Street, Ridgeville, Indiana |
| Authorized Official Name and Position | Kevin Mcandrews (VICE PRESIDENT) |
| Authorized Official Contact | 3175833194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Physician Network, Llc 10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 Ph: () - | St. Vincent Physician Network, Llc 105 East 2nd Street Ridgeville IN 47380-1325 Ph: (765) 857-2523 |
| NPI Number | 1285731737 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 08/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285731737 | NPI | - | NPPES |
| 15-3880 | Other | IN | MEDICARE PART A |
| 200817010 | Medicaid | IN |
St. Vincent Physician Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E 2nd St, Ridgeville, IN 47380 Phone: 765-857-2523 | |
Family And Occupational Medicine Of Ridgeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E 2nd St, Ridgeville, IN 47380 Phone: 765-857-2523 Fax: 765-584-0551 | |
Family & Occupational Medicine Of Lynn & Ridgeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E 2nd St, Ridgeville, IN 47380 Phone: 765-857-2523 Fax: 765-857-2304 |