ST VINCENT RANDOLPH HOSPITAL


Address: 900 N Columbia St, Union City, IN 47390-9496
Phone: 7659646200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN BC/BS GROUP # 000000105460 01
IN 2281025 05

Other Provider/Organization Names

Other Name Type Code
Family Health Center of Union City Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 900 N COLUMBIA ST
City UNION CITY
State IN
Zip Code 47390-9496

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City UNION CITY
Zip Code 47390

Improve Information

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Dataset Information

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.

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