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NPI Code Detail

MEDICARE: ST. VINCENT SETON SPECIALTY HOSPITAL, INC.

MEDICARE: ST. VINCENT SETON SPECIALTY HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care HospitalIN

General Provider Information

NPI Number : 1386699684
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. VINCENT SETON SPECIALTY HOSPITAL, INC.
Provider Business Mailing Address
First Line : 1501 HARTFORD ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2134
Country : US
Telephone Number : 765-423-6650
Fax Number : 765-423-6648
Provider Business Practice Location Address
First Line : 1501 HARTFORD ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2134
Country : US
Telephone Number : 765-423-6650
Fax Number : 765-423-6648
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : PETER ALEXANDER
Credential :
Telephone Number : 317-415-8500
Provider Enumeration Date : 05/24/2006
Last Update Date : 10/16/2007

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