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ST MARY MEDICAL CENTER INC NPI 1306170477


NPI Information

NPI: 1306170477
Provider Name: ST MARY MEDICAL CENTER INC

Other Name: INNOVATIVE WOMENS HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
10607 RANDOLPH ST
STE C
CROWN POINT, IN
ZIP 46307
Phone: (219) 663-1841
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ST MARY MEDICAL CENTER INC is an obstetrics gynecology in Crown Point, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ST MARY MEDICAL CENTER INC NPI is 1306170477. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Innovative Womens Health.

The provider's business location address is:

10607 RANDOLPH ST
STE C
CROWN POINT, IN
ZIP 46307-505
Phone: (219) 663-1841
Fax: (219) 663-1846

The provider's authorized official is Janice Ryba .
The authorized official title is Ceo and has the following contact phone number (219) 942-0551.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 7/29/2010.


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
1207V00000XObstetrics & GynecologyYes

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
1200966140BMEDICAIDINDIANA
2263440MEDICARE PININDIANA
3200966140AMEDICAIDINDIANA

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

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