Organization · Type 2 NPI
St. Vincent Physician Network, LLC
Primary Care Clinic/Center · Ridgeville, IN
NPI number
1063587400
Active
Practice location
105 E 2nd St
Ridgeville, IN 47380-1325
Mailing address
9588 Valparaiso Ct
Indianapolis, IN 46268-1130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1063587400
St. Vincent Physician Network, LLC's National Provider Identifier is 1063587400, issued on Nov 21, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ridgeville, IN. The record was last updated on Aug 22, 2020.