ST. VINCENT PHYSICIAN NETWORK, LLC
NPI 1063587400
Clinic/Center - Primary Care in Ridgeville, IN

Active since November 21, 2006
105 E 2ND ST, RIDGEVILLE, IN 47380(765) 857-2523 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Vincent Physician Network, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. VINCENT PHYSICIAN NETWORK, LLC (NPI 1063587400) is a healthcare organization registered as a primary care in Ridgeville, Indiana and active in the NPI registry since November 2006. The organization lists D Bruce Haga, Vice President, as its authorized official.

NPPES Registry Identity

NPI1063587400
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST. VINCENT PHYSICIAN NETWORK, LLC
Location Address105 E 2ND STRidgeville, IN 47380-1325
Mailing Address9588 Valparaiso CtIndianapolis, IN 46268-1130
Organization SubpartNo
Authorized OfficialD Bruce HagaVice President · (317) 338-7419
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1063587400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
105 E 2ND ST, Ridgeville, IN 47380

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
105 E 2ND ST
RIDGEVILLE, IN 47380
Family Medicine
105 E 2ND ST
RIDGEVILLE, IN 47380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Vincent Physician Network, LLC's NPI number?

The NPI number for St. Vincent Physician Network, LLC is 1063587400. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is St. Vincent Physician Network, LLC located?

St. Vincent Physician Network, LLC is located at 105 E 2nd St, Ridgeville, IN 47380. The listed phone number is (765) 857-2523.

What is St. Vincent Physician Network, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for St. Vincent Physician Network, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.