St Mary'S Breast Center, Llc
LBN: St Mary'S Breast Center, Llc
St Mary'S Breast Center, Llc is an health care organization with primary practice located at 100 St Marys Epworth Xing Ste. A500, Newburgh IN 47630-9698. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
St Mary'S Breast Center, Llc can be contacted via phone (812) 485-4437, or through Hall, Kathy J via phone (812) 471-1591.
Contact Information
Primary practice address
100 St Marys Epworth Xing Ste. A500
Newburgh IN 47630-9698
Phone: (812) 485-4437
Fax: (812) 485-6890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1073502290 |
|---|---|
| LBN Legal business name | St Mary'S Breast Center, Llc |
| DBA Doing business as | |
| Authorized official | Hall, Kathy J |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 26th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073502290 | NPPES |
| Indiana | MEDICAID | 100468730 | |
| Indiana | MEDICAID | 7100138240 |
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