Provider Demographics
NPI:1558819599
Name:ST. MARY'S HEALTH, INC
Entity Type:Organization
Organization Name:ST. MARY'S HEALTH, INC
Other - Org Name:ASCENSION ST. VINCENT EVANSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-485-1502
Mailing Address - Street 1:100 S ROSENBERGER AVE
Mailing Address - Street 2:SUITE A310
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-6591
Mailing Address - Country:US
Mailing Address - Phone:812-433-2030
Mailing Address - Fax:812-433-2039
Practice Address - Street 1:100 S ROSENBERGER AVE
Practice Address - Street 2:SUITE A310
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-6591
Practice Address - Country:US
Practice Address - Phone:812-433-2030
Practice Address - Fax:812-433-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300000257Medicaid
IN300000257Medicaid