| Organization Name: | ST. MARGARET MERCY HEALTHCARE CENTERS, INC |
| NPI Number: | 1982832457 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS GRYZBEK (PRESIDENT) |
| Mailing Address: | 8437 Kennedy Ave Highland |
| State: | IN US |
| Postal Code: | 463221140 |
| Phone Number: | 2198521521 |
| Fax Number: | 2199234585 |
| NPI Enumeration Date: | 06/23/2009 |
| NPI Last Update Date: | 06/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |