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ST. VINCENT MADISON COUNTY HEALTH SYSTEM INC. NPI 1144276122


NPI Information

NPI: 1144276122
Provider Name: ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.

Other Name: ALEXANDRIA MA, MERCY FP, MERCY IM, MERCY STRESS CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1448 S A ST
ELWOOD, IN
ZIP 46036
Phone: (765) 552-4611
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ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC. is a family medicine in Elwood, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC. NPI is 1144276122. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Alexandria Ma, Mercy Fp, Mercy Im, Mercy Stress Center.

The provider's business location address is:

1448 S A ST
ELWOOD, IN
ZIP 46036-903
Phone: (765) 552-4611

The provider's authorized official is D. Bruce Haga .
The authorized official title is Vice President and has the following contact phone number (317) 583-3087.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2363L00000XNurse PractitionerNo
3363LA2200XNurse PractitionerAdult HealthNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5104100000XSocial WorkerNo
61041C0700XSocial WorkerClinicalNo
7101YM0800XCounselorMental HealthNo
8101Y00000XCounselorNo
9207Q00000XFamily MedicineYes
10208D00000XGeneral PracticeINDIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200270MEDICARE PININDIANA
2220800MEDICARE PININDIANA
3940240MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.