Provider Demographics
NPI:1851842496
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 1:14020 OLD STATE RD
Mailing Address - Street 2:SUITE A300
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-1164
Mailing Address - Country:US
Mailing Address - Phone:812-469-4730
Mailing Address - Fax:812-469-4783
Practice Address - Street 1:14020 OLD STATE RD
Practice Address - Street 2:SUITE A300
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-1164
Practice Address - Country:US
Practice Address - Phone:812-469-4730
Practice Address - Fax:812-469-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory