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1699045153 NPI number — ST. VINCENT HEALTH

NPI Number: 1699045153
Health Care Provider/Practitioner: ST. VINCENT HEALTH

Information about “1699045153” NPI (ST. VINCENT HEALTH) exists in 1699045153 in HTML format HTML  |  1699045153 in plain Text format TXT  |  1699045153 in PDF (Portable Document Format) PDF  |  1699045153 in an XML format XML  formats.

NPI Number : 1699045153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699045153",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ST. VINCENT HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5228 THRASHER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46254-3563",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-281-5539",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3525 W 126TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARMEL",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46032-9557",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-733-6420",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/30/2011",
    "LastUpdateDate": "01/15/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOORE",
    "AuthorizedOfficialFirstName": "BRITTANI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CERTIFIED ATHLETIC TRAINER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ATC",
    "AuthorizedOfficialTelephoneNumber": "317-281-5539",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "36001755A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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