ST. VINCENT WILLIAMSPORT HOSPITAL (NPI# 1841233061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841233061 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT WILLIAMSPORT HOSPITAL |
| Other Organization Name | ST. VINCENT NORTH CLINIC |
| Practice Address |
1731 Ringer Lane Williamsport IN 47993-8900 |
| Practice Telephone | 7657629000 |
| Mailing Telephone | 7657629000 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | TRINA MARLATT (ADMINISTRATOR) |
| Authorized Official Telephone | 7657624000 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. VINCENT WILLIAMSPORT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
050050921 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200370100A | 05 |
| Other Name | Type Code |
|---|---|
| Ascension St. Vincent Williamsport | Doing Business As Name - Organization |
| St. Vincent North Clinic | Other Name - Individual/Organization |
| 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 |
| 1730136458 | St. Vincent Williamsport Hospital | Clinic/Center | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2006-05-28 |
| 1518913565 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT WILLIAMSPORT HOSPITAL FOUNDATION, INC. | 412 North Monroe Street, Williamsport, IN 47993 |
| Street Address |
1731 RINGER LANE |
| City | WILLIAMSPORT |
| State | IN |
| Zip Code | 47993-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| Find all providers in zip 47993 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730136458 | St. Vincent Williamsport Hospital | Clinic/Center | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2006-05-28 |
| 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.