ST. MARY'S FREESTANDING CATH LAB LLC
NPI 1760442883
Clinic/Center - Ambulatory Surgical in Evansville, IN

Active since March 23, 2006
901 SAINT MARYS DR, EVANSVILLE, IN 47714(812) 485-7409(812) 485-7416 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About ST. MARY'S FREESTANDING CATH LAB LLC

This page provides the complete NPI Profile along with additional information for St. Mary's Freestanding Cath Lab Llc, a provider established in Evansville, Indiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760442883 assigned on March 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Jan Ernest (Secretary/treasurer)

NPI
1760442883 Verify this NPI
Provider Name
ST. MARY'S FREESTANDING CATH LAB LLC
Entity Type
Organization
Location Address
901 SAINT MARYS DR EVANSVILLE, IN 47714
Location Phone
(812) 485-7409
Location Fax
(812) 485-7416
Mailing Address
PO BOX 15253 EVANSVILLE, IN 47716
Mailing Phone
(812) 204-8429
Mailing Fax
(812) 485-7416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2006
Last Update Date
04-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
IN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JAN ERNEST

Authorized Official Title
SECRETARY/TREASURER
Authorized Official Phone
(812) 485-4573

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
36001378MEDICAID (05)KY 
217430MEDICARE ID-TYPE UNSPECIFIED (04)ININDIANA MEDICARE
=========001MEDICAID (05)IL 

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
901 SAINT MARYS DR, SUITE 300
EVANSVILLE, IN 47714
Internal Medicine (Cardiovascular Disease)
901 SAINT MARYS DR, STE300
EVANSVILLE, IN 47714
Internal Medicine (Pulmonary Disease)
901 SAINT MARYS DR, SUITE 200
EVANSVILLE, IN 47714
Internal Medicine (Cardiovascular Disease)
901 SAINT MARYS DR, STE 300
EVANSVILLE, IN 47714
Physician Assistant
901 SAINT MARYS DR, SUITE 300
EVANSVILLE, IN 47714
Nurse Practitioner (Acute Care)
901 SAINT MARYS DR, STE 300
EVANSVILLE, IN 47714
Internal Medicine (Cardiovascular Disease)
901 SAINT MARYS DR, STE 300
EVANSVILLE, IN 47714
Clinical Nurse Specialist
901 SAINT MARYS DR, SUITE 300
EVANSVILLE, IN 47714
Internal Medicine (Interventional Cardiology)
901 SAINT MARYS DR, SUITE 300
EVANSVILLE, IN 47714
Nurse Practitioner (Acute Care)
901 SAINT MARYS DR, STE 300
EVANSVILLE, IN 47714
Nurse Practitioner (Acute Care)
901 SAINT MARYS DR, STE 300
EVANSVILLE, IN 47714
Nurse Practitioner (Acute Care)
901 SAINT MARYS DR, STE 200
EVANSVILLE, IN 47714
Internal Medicine (Clinical Cardiac Electrophysiology)
901 SAINT MARYS DR, STE 300
EVANSVILLE, IN 47714
Internal Medicine (Pulmonary Disease)
901 SAINT MARYS DR, SUITE 200
EVANSVILLE, IN 47714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760442883, enumerated as an "organization" on March 23, 2006.

The provider is located at 901 SAINT MARYS DR EVANSVILLE, IN 47714 and the phone number is (812) 485-7409.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.