Healthcare Provider Details

I. General information

NPI: 1427082957
Provider Name (Legal Business Name): ST. MARY'S HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON AVE
EVANSVILLE IN
47750-0001
US

IV. Provider business mailing address

3700 WASHINGTON AVE
EVANSVILLE IN
47750-0001
US

V. Phone/Fax

Practice location:
  • Phone: 812-485-4000
  • Fax: 812-485-6839
Mailing address:
  • Phone: 812-485-4000
  • Fax: 812-485-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number005089
License Number StateIN

VIII. Authorized Official

Name: ALEXANDER CHANG
Title or Position: CEO
Credential:
Phone: 812-485-4000