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NPI Code Detail

MEDICARE: ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC.

MEDICARE: ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, 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
12083X0100XOccupational Medicine Physician

General Provider Information

NPI Number : 1205616323
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC.
Provider Business Mailing Address
First Line : 13450 N MERIDIAN ST STE 363
Second Line :
City : CARMEL
State : IN
Zip : 46032-7120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13450 N MERIDIAN ST STE 363
Second Line :
City : CARMEL
State : IN
Zip : 46032-7120
Country : US
Telephone Number : 317-582-8315
Fax Number :
Authorized Official
Title or Position : CFO (AMG)
Name : BRIAN MORRIS
Credential :
Telephone Number : 317-338-6234
Provider Enumeration Date : 10/05/2023
Last Update Date : 10/05/2023

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Directions to “ST. VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE, INC. ” Practice Location

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