Anderson Family Practice

LBN: Saint John Health System
Anderson Family Practice is an health care organization with primary practice located at 141 W 22Nd St , Anderson IN 46016-4304. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Saint John Health System can be contacted via phone (765) 641-7100, or through Haga, D Bruce via phone (317) 583-3087.

Contact Information

Primary practice address
141 W 22Nd St Anderson IN 46016-4304
Phone: (765) 641-7100
Fax: (765) 641-7115
Website:
Map and Directions
Authorized official contact:
Name: Haga, D Bruce
Phone: (317) 583-3087

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1396773461
LBN Legal business name Saint John Health System
DBA Doing business as Anderson Family Practice
Authorized official Haga, D Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Dec 3rd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396773461 NPPES
Indiana MEDICAID 200408600A

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