Provider Demographics
NPI:1578015632
Name:ST. MARY'S HEALTH, INC.
Entity Type:Organization
Organization Name:ST. MARY'S HEALTH, INC.
Other - Org Name:ASCENSION ST. VINCENT EVANSVILLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-485-4000
Mailing Address - Street 1:14020 OLD STATE RD
Mailing Address - Street 2:SUITE B200
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-1164
Mailing Address - Country:US
Mailing Address - Phone:812-469-4722
Mailing Address - Fax:812-469-4784
Practice Address - Street 1:14020 OLD STATE RD
Practice Address - Street 2:SUITE B200
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-1164
Practice Address - Country:US
Practice Address - Phone:812-469-4722
Practice Address - Fax:812-469-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies