ST VINCENT RANDOLPH HOSPITAL (NPI# 1821081456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821081456 |
Entity Type | Organization |
Organization Name | ST VINCENT RANDOLPH HOSPITAL |
Other Organization Name | FAMILY HEALTH CENTER OF UNION CITY |
Practice Address |
900 N Columbia St Union City IN 47390-9496 |
Mailing Address |
Po Box 428 Winchester IN 47394-0428 |
Practice Telephone | 7659646200 |
Practice Fax Number | 7655840551 |
Mailing Telephone | 7659646200 |
Mailing Fax Number | 7655840551 |
Enumeration Date | 2005-08-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. WAYNE G DESCHAMBEAU (ADMINISTRATOR) |
Authorized Official Telephone | 7655840141 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | BC/BS GROUP # | 000000105460 | 01 |
IN | 2281025 | 05 |
Other Name | Type Code |
---|---|
Family Health Center of Union City | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578556031 | St Vincent Randolph Hospital | Clinic/Center | 4 Rebel Drive, Lynn, IN 47355 | 2005-08-30 |
1093708612 | St Vincent Randolph Hospital | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-08-30 |
1497748974 | St Vincent Randolph Hospital | Clinic/Center | 105 E 2nd St, Ridgeville, IN 47380-1325 | 2005-08-30 |
Street Address |
900 N COLUMBIA ST |
City | UNION CITY |
State | IN |
Zip Code | 47390-9496 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245305226 | St. Vincent Physician Network, LLC | Clinic/Center | 900 N Columbia St, Union City, IN 47390-9496 | 2006-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689804544 | Shaunessy Michelle Stamm | Social Worker | 998 North Columbia St., Suite 1, Union City, IN 47390 | 2009-07-24 |
1093812547 | St. Vincent Physician Network, LLC | Clinic/Center | 900 North Columbia Street, Union City, IN 47390 | 2006-09-19 |
1518480029 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 106 S Columbia St, Union City, IN 47390 | 2017-07-18 |
1013104223 | Randolph Eastern School Corporation | Local Education Agency (LEA) | 907 N Plum St, Union City, IN 47390-1029 | 2007-10-02 |
1215021969 | Diane Renee Roessner | Pharmacist | 366 W Deerfield Rd, Union City, IN 47390-1039 | 2006-10-03 |
1407856701 | Craig William Downey | Family Medicine | 330 W Deerfield Rd, Union City, IN 47390-1039 | 2005-07-28 |
1023617370 | Danielle Lynn Brainerd | Nurse Practitioner | 330 W Deerfield Rd, Union City, IN 47390-1039 | 2020-10-19 |
1346778073 | Lindsey A Lamm | Nurse Practitioner | 330 W Deerfield Rd, Union City, IN 47390-1039 | 2017-05-25 |
1205240710 | Lorenzo D Somma | Family Medicine | 330 W Deerfield Rd, Union City, IN 47390-1039 | 2014-06-12 |
1871866384 | St. Vincent Medical Group, Inc. | Clinic/Center | 330 W Deerfield Rd, Union City, IN 47390-1039 | 2012-02-14 |
Find all providers in zip 47390 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093812547 | St. Vincent Physician Network, LLC | Clinic/Center | 900 North Columbia Street, Union City, IN 47390 | 2006-09-19 |
1093751331 | Community Health Center of Branch County | Clinic/Center | 624 W M-60, Union City, MI 49094 | 2006-06-22 |
1871866384 | St. Vincent Medical Group, Inc. | Clinic/Center | 330 W Deerfield Rd, Union City, IN 47390-1039 | 2012-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679182190 | Indiana University Health Paoli Inc | Clinic/Center | 560 W. Longest Street, Paoli, IN 47454-9670 | 2020-07-30 |
1255965083 | True Healthcare Partner LLC | Clinic/Center | 104 North Webster Street, Saint Paul, IN 47272-9435 | 2020-03-02 |
1659935781 | Rush Memorial Hospital | Clinic/Center | 201 Conrad Harcourt Way Ste A, Rushville, IN 46173-1157 | 2019-04-24 |
1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
Find all providers with the same taxonomy |
City | UNION CITY |
Zip Code | 47390 |
Please comment or provide details below to improve the information on ST VINCENT RANDOLPH 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.