St. Vincent Physician Network, Llc is a primary clinic (Clinic/center - Rural Health) in Ridgeville, Indiana. The current practice location for St. Vincent Physician Network, Llc is 105 East 2nd Street, Ridgeville, Indiana. For appointments, you can reach them via phone at
(765) 857-2523. The mailing address for St. Vincent Physician Network, Llc is 10330 N Meridian St, Suite 201, Indianapolis, Indiana and phone number is () -.
St. Vincent Physician Network, Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1285731737. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(765) 857-2523.
Primary Care Clinic Profile
Full Name | St. Vincent Physician Network, Llc |
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Speciality | Clinic/center - Rural Health |
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Location | 105 East 2nd Street, Ridgeville, Indiana |
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Authorized Official Name and Position | Kevin Mcandrews (VICE PRESIDENT) |
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Authorized Official Contact | 3175833194 |
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Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address and Practice Location
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 Details:
NPI Number | 1285731737 |
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Provider Enumeration Date | 09/19/2006 |
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Last Update Date | 08/10/2011 |
Medical Identifiers
Medical identifiers for St. Vincent Physician Network, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285731737 | NPI | - | NPPES |
15-3880 | Other | IN | MEDICARE PART A |
200817010 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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