ST. VINCENT MEDICAL GROUP, INC. (NPI# 1225301740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225301740 |
Entity Type | Organization |
Organization Name | ST. VINCENT MEDICAL GROUP, INC. |
Other Organization Name | ASCENSION MEDICAL GROUP ST. VINCENT |
Practice Address |
409 E Greenville Ave Winchester IN 47394-9436 |
Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
Practice Telephone | 7655840480 |
Enumeration Date | 2012-02-14 |
Last Update Date | 2020-02-12 |
Authorized Official Name | BRIAN MORRIS (CFO) |
Authorized Official Telephone | 3173386234 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ascension Medical Group St. Vincent | Doing Business As Name - 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 |
1124459573 | St. Vincent Medical Group, Inc. | Pharmacy | 7408 W State Road 28, Suite 1, Elwood, IN 46036-8600 | 2013-12-11 |
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 |
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 |
409 E GREENVILLE AVE |
City | WINCHESTER |
State | IN |
Zip Code | 47394-9436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811990393 | Kenneth Sowinski | Family Medicine | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-05-27 |
1558879577 | Jennifer Basford | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394-9464 | 2018-01-11 |
1366874794 | Kelly J Campbell | Nurse Practitioner | 409 E Greenville Ave, Suite 300, Winchester, IN 47394-9436 | 2013-08-08 |
1962840801 | Andrew Nathan Felman | Obstetrics & Gynecology | 409 E Greenville Ave, Winchester, IN 47394-9464 | 2013-06-13 |
1144513375 | St. Vincent Medical Group, Inc. | Dermatology | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2011-05-20 |
1548582950 | Samantha M Morris | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2010-02-26 |
1568619955 | Mabrey Jen Chamberlin | Advanced Practice Midwife | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2008-08-27 |
1285899914 | Amanda K Whitenack | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2008-07-22 |
1720282189 | Jessica R Williams | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2007-06-12 |
1982779328 | St. Vincent Physician Network, LLC | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2006-11-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053889113 | Kristen Michelle Bogue | Nurse Practitioner | 910 E Washingon Street Suite 2, Winchester, IN 47394 | 2018-11-07 |
1972043305 | Lacie Shae Burge | Nurse Practitioner | 400 South Oak Street, Randolph Medical Center, Winchester, IN 47394 | 2017-03-04 |
1598018913 | Taylor L Stephens | Social Worker | 325 S Oak St, 103, Winchester, IN 47394 | 2012-10-23 |
1518189323 | Cari Prinkey | Pharmacist | 473 Greenville Avenue, Winchester, IN 47394 | 2007-05-02 |
1083708432 | Help-call & Rescue | Home Health | 605 West Newton, Winchester, IN 47394 | 2006-10-02 |
1184031932 | Pauletta J Hummel | Nurse Practitioner | 473 E Greenville Ave, Winchester, IN 47394 | 2014-07-14 |
1043291206 | Gregory Paul Calkins | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394 | 2005-11-07 |
1184874331 | Dianna L. Naylor | Counselor | 730 W Washington St, Winchester, IN 47394-1425 | 2008-09-24 |
1619582673 | Kristen Lea Grilliot | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2020-09-15 |
1609245133 | Tonia Childers | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2015-09-15 |
Find all providers in zip 47394 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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---|---|---|---|---|
1578790713 | Spa M Medical Corporation | Clinic/Center | 32034 Blazing Star St, Winchester, CA 92596-8941 | 2009-06-15 |
1902903453 | St. Vincent Physician Network, LLC | Clinic/Center | 409 East Greenville Avenue, Winchester, IN 47394-9436 | 2006-09-19 |
1629078688 | Ronald L Johnson | Clinic/Center | 231 W Cherry St, Winchester, IL 62694-1027 | 2005-07-29 |
1962753319 | Reid Physician Associates, Inc | Clinic/Center | 400 S Oak St, Winchester, IN 47394-2225 | 2012-09-25 |
1588966378 | Jefferson County Memorial Hospital Inc | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2010-11-30 |
1114105749 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 231 W Cherry St, Winchester, IL 62694-1027 | 2008-02-06 |
1093708612 | St Vincent Randolph Hospital | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-08-30 |
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1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
Find all providers with the same taxonomy |
City | WINCHESTER |
Zip Code | 47394 |
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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.