Provider Demographics
NPI:1922553627
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:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-485-4000
Mailing Address - Street 1:100 S ROSENBERGER AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-6591
Mailing Address - Country:US
Mailing Address - Phone:812-485-8740
Mailing Address - Fax:812-485-8741
Practice Address - Street 1:100 S ROSENBERGER AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-6591
Practice Address - Country:US
Practice Address - Phone:812-485-8740
Practice Address - Fax:812-485-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies