ST. VINCENT MEDICAL GROUP, INC. (NPI# 1124459573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124459573 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT MEDICAL GROUP, INC. |
| Other Organization Name | RED GOLD CLINIC |
| Practice Address |
7408 W State Road 28 Suite 1 Elwood IN 46036-8600 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 7655572240 |
| Mailing Telephone | 3175833078 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | BRADLEY MCNABB (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3175833078 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. VINCENT MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
IN | Suppliers |
| Other Name | Type Code |
|---|---|
| Red Gold Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317964 | St. Vincent Medical Group, Inc. | Health Educator | 401 E Michigan St, Indianapolis, IN 46204-1643 | 2020-02-06 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1578162988 | St. Vincent Medical Group, Inc. | Preventive Medicine | 1579 Olive Branch Parke Lane, #180, Greenwood, IN 46143-5754 | 2020-10-19 |
| 1750998795 | St. Vincent Medical Group, Inc. | Preventive Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2020-09-24 |
| 1194251439 | St. Vincent Medical Group, Inc. | Clinic/Center | 590 Pit Rd, #200, Brownsburg, IN 46112 | 2017-05-05 |
| 1962946459 | St. Vincent Medical Group, Inc. | Clinic/Center | 1684 Bush Ln, #100, Crawfordsville, IN 47933 | 2016-12-19 |
| 1902349483 | St. Vincent Medical Group, Inc. | Clinic/Center | 2155 E Main St, 150, Plainfield, IN 46168 | 2016-12-01 |
| 1144560350 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite C, Frankfort, IN 46041-3377 | 2013-02-25 |
| 1962747410 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite A, Frankfort, IN 46041-3377 | 2012-12-10 |
| 1952646564 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite B, Frankfort, IN 46041-3377 | 2012-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT MEDICAL GROUP, INC. | 10330 N. Meridian St., Suite 300, Indianapolis, IN 46290 |
| Street Address |
7408 W STATE ROAD 28 SUITE 1 |
| City | ELWOOD |
| State | IN |
| Zip Code | 46036-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790969467 | St. Vincent Madison County Health System, Inc. | Preventive Medicine | 7408 W State Road 28, Elwood, IN 46036-8600 | 2007-12-18 |
| 1982240917 | Advanced Pain Management of Elwood | Pain Medicine | 7408 W State Road 28, Elwood, IN 46036-8600 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235263682 | City of Elwood | Ambulance | 1505 South B St, Elwood, IN 46036 | 2007-03-16 |
| 1790849313 | Dennis L Church Dds Inc | Clinic/Center | 213 North 16th St, Elwood, IN 46036 | 2006-12-20 |
| 1679536320 | Elwood Family Medicine PC | Family Medicine | 1520 So R St, Elwood, IN 46036 | 2006-04-11 |
| 1295796159 | Margaret Runelle Romine | Nurse Practitioner | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
| 1346542016 | Terri Turner | Counselor | 10731 N State Road 13, Elwood, IN 46036 | 2010-12-01 |
| 1962423780 | Stephen E Hall | Anesthesiology | 1331 S A St, Elwood, IN 46036 | 2006-07-21 |
| 1104887066 | Robert James Helm | Family Medicine | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
| 1013990753 | Alfredo J Tumbali | Psychiatry & Neurology | 1500 S B St Ste 3, Elwood, IN 46036 | 2005-11-28 |
| 1619216348 | Integrated Pain Solutions, Inc | Chiropractor | 517 N Anderson St, Suite 4, Elwood, IN 46036-1293 | 2013-01-31 |
| 1861703191 | Marianne Goshorn | Specialist/Technologist | 1137 N 19th St, Elwood, IN 46036-1376 | 2010-07-01 |
| Find all providers in zip 46036 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134217 | Dana M Graham | Pharmacy | 6297 W Foster Branch Dr, Pendleton, IN 46064-9214 | 2020-08-12 |
| 1063948206 | Indiana Micro Hospital, LLC | Pharmacy | 9460 E 146th St, Noblesville, IN 46060-4966 | 2017-05-09 |
| 1306210943 | B&b Holdings LLC | Pharmacy | 1326 N Coliseum Blvd, Fort Wayne, IN 46805-5526 | 2015-11-19 |
| 1245474782 | Purdue University | Pharmacy | 625 Harrison St, West Lafayette, IN 47907-2026 | 2009-04-28 |
| 1497995815 | Northshore Health Centers, Inc. | Pharmacy | 2490 Central Ave Ste B, Lake Station, IN 46405-2122 | 2009-02-25 |
| 1427145630 | The Health and Hospital Corporation of Marion County | Pharmacy | 1050 Wishard Boulevard, Indianapolis, IN 46202 | 2006-10-07 |
| 1184736027 | Valparasio Professional Pharmacy, P.C. | Pharmacy | 2101 Roosevelt Rd, Valparaiso, IN 46383-2747 | 2006-08-31 |
| 1235737792 | Mike Obeng | Pharmacy | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2020-10-15 |
| 1326603325 | Healthlinc, Inc | Pharmacy | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2019-05-06 |
| 1174187553 | The South Bend Clinic LLP | Pharmacy | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2019-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.