| St. Vincent Physician Network, Llc | |
|
105 E 2nd St Ridgeville IN 47380-1325 | |
| (765) 857-2523 | |
| Not Available |
| Full Name | St. Vincent Physician Network, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 105 E 2nd St, Ridgeville, Indiana |
| Authorized Official Name and Position | D Bruce Haga (VICE PRESIDENT) |
| Authorized Official Contact | 3173387419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Physician Network, Llc 9588 Valparaiso Ct Indianapolis IN 46268-1130 Ph: () - | St. Vincent Physician Network, Llc 105 E 2nd St Ridgeville IN 47380-1325 Ph: (765) 857-2523 |
| NPI Number | 1063587400 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063587400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
St. Vincent Physician Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 East 2nd Street, 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 |