Organization Name: | SAINT JOHN HEALTH SYSTEM |
NPI Number: | 1215087002 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANTE O PHILLIPS (DIRECTOR) |
Mailing Address: | 8401 Harcourt Rd #3011 Indianapolis |
State: | IN US |
Postal Code: | 462602036 |
Phone Number: | 3173384803 |
Fax Number: | 3173384917 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 69000167A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |