| St. Vincent Physician Network, Llc | |
|
11530 Allisonville Rd Fishers IN 46038-1866 | |
| (317) 415-5900 | |
| Not Available |
| Full Name | St. Vincent Physician Network, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11530 Allisonville Rd, Fishers, Indiana |
| Authorized Official Name and Position | Kevin Mcandrews (VICE PRESIDENT) |
| Authorized Official Contact | 3175833194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Physician Network, Llc 10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 Ph: () - | St. Vincent Physician Network, Llc 11530 Allisonville Rd Fishers IN 46038-1866 Ph: (317) 415-5900 |
| NPI Number | 1104876648 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104876648 | NPI | - | NPPES |
| 200922660 | Medicaid | IN | |
| 200861610 | Medicaid | IN | |
| 200817010 | Medicaid | IN | |
| 200277740 | Medicaid | IN |
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