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General NPI Number Information
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NPI Number | 1477508596
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Entity Type | Organization
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Legal Business Name | ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 1331 S A ST
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City | ELWOOD
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State | IN
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Zip | 46036-1942
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Country | US
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Telephone | 765-552-4600
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Fax | 765-552-4775
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Provider Business Mailing Address
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Address Line | 1331 S A ST
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City | ELWOOD
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State | IN
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Zip | 46036-1942
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Country | US
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Telephone | 765-552-4600
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Fax | 765-552-4775
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Authorized Official
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Title or Position | DIRECTOR OF NURSING, ST. VINCENT ME
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Name | ANN YATES
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Credential |
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Telephone | 765-552-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 060050832
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License Number State | IN
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