St. Vincent Madison County Health System, Inc.

NPI #1144276122 in Elwood, Indiana

Provider Information

NPI Number: 1144276122
Entity Type: Organization
Organization Name: St. Vincent Madison County Health System, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.
Primary Specialty: Family Medicine
Enumeration Date: May 25, 2006
Last Updated: Oct 15, 2007

Practice Location

Address: 1448 S A ST
City: Elwood
State: Indiana
ZIP Code: 46036-1903
Phone: (765) 552-4611

Authorized Official

Name: D. BRUCE HAGA
Title: VICE PRESIDENT
Phone: (317) 583-3087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X
Family Medicine	207Q00000X	Primary
General Practice	208D00000X

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