Ascension Medical Group St. Vincent Evansville
LBN: St Marys Medical Group, Llc
Ascension Medical Group St. Vincent Evansville is an health care organization with primary practice located at 3700 Washington Ave , Evansville IN 47750-0001. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
St Marys Medical Group, Llc can be contacted via phone (812) 485-4000, or through Millikan, William J via phone (812) 485-4000.
Contact Information
Primary practice address
3700 Washington Ave
Evansville IN 47750-0001
Phone: (812) 485-4000
Fax:
Website:
Authorized official contact:
Name: Millikan, William J Doctor of Medicine (MD)
Phone: (812) 485-4000
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Indiana | |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Indiana |
Profile Details
NPI number | 1952750606 |
---|---|
LBN Legal business name | St Marys Medical Group, Llc |
DBA Doing business as | Ascension Medical Group St. Vincent Evansville |
Authorized official | Millikan, William J Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 3rd, 2016 |
Last updated | Jun 29th, 2020 - about 5 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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