| St. Vincent Madison County Health System, Inc. | |
|
11 Skyview Dr Chesterfield IN 46017-1057 | |
| (765) 378-1572 | |
| (765) 378-1580 |
| Full Name | St. Vincent Madison County Health System, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11 Skyview Dr, Chesterfield, Indiana |
| Authorized Official Name and Position | D. Bruce Haga (VICE PRESIDENT) |
| Authorized Official Contact | 3175833087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Madison County Health System, Inc. 10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 Ph: () - | St. Vincent Madison County Health System, Inc. 11 Skyview Dr Chesterfield IN 46017-1057 Ph: (765) 378-1572 |
| NPI Number | 1477663847 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477663847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |