ST. VINCENT WILLIAMSPORT HOSPITAL (NPI# 1518913565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518913565 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT WILLIAMSPORT HOSPITAL |
| Other Organization Name | ST. VINCENT WILLIAMSPORT HOSPITAL, INC. |
| Practice Address |
412 N Monroe St Williamsport IN 47993-1049 |
| Practice Telephone | 7657624000 |
| Mailing Telephone | 7657624000 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | TRINA MARLATT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7657624000 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
050050921 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100270250A | 05 |
| Other Name | Type Code |
|---|---|
| Ascension St. Vincent Williamsport | Doing Business As Name - Organization |
| St. Vincent Williamsport Hospital | Other Name - Individual/Organization |
| St. Vincent Williamsport Hospital, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841233061 | St. Vincent Williamsport Hospital | Clinic/Center | 1731 Ringer Lane, Williamsport, IN 47993-8900 | 2006-06-14 |
| 1427128404 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-11-08 |
| 1730136458 | St. Vincent Williamsport Hospital | Clinic/Center | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2006-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT WILLIAMSPORT HOSPITAL FOUNDATION, INC. | 412 North Monroe Street, Williamsport, IN 47993 |
| Street Address |
412 N MONROE ST |
| City | WILLIAMSPORT |
| State | IN |
| Zip Code | 47993-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167931 | Richard Thompson Gripe | Orthopaedic Surgery | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-03-14 |
| 1609346923 | Kelszie Danielle Morgan | Physician Assistant | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-11-29 |
| 1235611625 | Jeffrey M Tessman | Nurse Practitioner | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-08-31 |
| 1952891269 | Iema Indiana | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-05-11 |
| 1750774576 | Wolfe Neurology, LLC | Psychiatry & Neurology | 412 N Monroe St, Williamsport, IN 47993-1049 | 2015-03-18 |
| 1477966778 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 412 N Monroe St, Williamsport, IN 47993-1049 | 2014-06-04 |
| 1619105103 | Michael Charles Tricoci | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2009-06-23 |
| 1881758852 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-12-21 |
| 1427128404 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-11-08 |
| 1548297567 | Thomas Ringer | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568782613 | Anita Michelle Rice | Occupational Therapy Assistant | Waters of Williamsport, 200 Short St., Williamsport, IN 47993 | 2010-06-10 |
| 1053404541 | Msd of Warren County | Local Education Agency (LEA) | 101 N Monroe Street, Williamsport, IN 47993 | 2006-10-02 |
| 1518328236 | Alexis Smith | Specialist/Technologist | 23 Willow Ct, Williamsport, IN 47993 | 2016-03-08 |
| 1689872426 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993 | 2007-07-03 |
| 1396772612 | Steven Fischer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-26 |
| 1538195391 | William Ringer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-24 |
| 1659366151 | Quality Life Care, LLC | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993-1031 | 2005-09-12 |
| 1194044644 | Kevin D. Smith | Occupational Therapy Assistant | 200 Short St, Williamsport, IN 47993-1031 | 2010-05-24 |
| 1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
| 1083829394 | Community Action Program, Inc. of Western In | Technician | 22 W 2nd St, Williamsport, IN 47993-1118 | 2007-05-11 |
| Find all providers in zip 47993 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427128404 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973032 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 4109 W State Road 10, Wheatfield, IN 46392-7008 | 2015-06-03 |
| 1831331800 | Richard L. Roudebush Va Medical Center | General Acute Care Hospital | 1816 Larkfield Ct Apt 563, Indianapolis, IN 46260-2562 | 2009-04-06 |
| 1104062462 | Advocate Illinois Masonic Medical Center | General Acute Care Hospital | 3632 Wirth Rd, Highland, IN 46322-2218 | 2008-12-16 |
| 1366528820 | Dannielle Christine Gilyan | General Acute Care Hospital | 2445 Directors Row Ste C, Indianapolis, IN 46241-4936 | 2006-10-27 |
| 1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
| 1811962228 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-02-20 |
| 1154396604 | Scott County Memorial Hospital | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-02-20 |
| 1871574822 | Indiana University Health Blackford Hospital Inc | General Acute Care Hospital | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 2005-11-08 |
| 1548260284 | Indiana University Health Bedford, Inc | General Acute Care Hospital | 2900 W. 16th St, Bedford, IN 47421-3510 | 2005-07-22 |
| 1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 47993 |
Please comment or provide details below to improve the information on ST. VINCENT WILLIAMSPORT HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.