ST. MARY'S WARRICK HOSPITAL, INC. (NPI# 1073668273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073668273 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S WARRICK HOSPITAL, INC. |
| Other Organization Name | ASCENSION ST. VINCENT WARRICK |
| Practice Address |
1116 Millis Avenue Boonville IN 47601 |
| Mailing Address |
1116 Millis Ave Boonville IN 47601-2204 |
| Practice Telephone | 8128974800 |
| Practice Fax Number | 8128977375 |
| Mailing Telephone | 8128974800 |
| Mailing Fax Number | 8128977375 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | MARTY P. MATTINGLY (ADMINISTRATOR) |
| Authorized Official Telephone | 8128977112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1341114 | 05 | |
| CHAMPUS | I013944 | 01 | |
| IN | ANTHEM BLUE CROSS | 000000054341 | 01 |
| FEDERAL BLACK LUNG | 032184200 | 01 | |
| IN | 100270700 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension St. Vincent Warrick | Doing Business As Name - Organization |
| St. Vincent Warrick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828803 | St. Mary's Warrick Hospital, Inc. | General Acute Care Hospital | 1116 Millis Ave, Boonville, IN 47601-2204 | 2005-08-19 |
| Street Address |
1116 MILLIS AVENUE |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
| 1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
| 1699879957 | Phillip W Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1215086392 | North Haven, Inc. | Nursing Facility/Intermediate Care Facility | 305 E North St, Boonville, IN 47601-1357 | 2007-01-09 |
| Find all providers in zip 47601 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275552812 | Parkview Wabash Hospital, Inc. | Medicare Defined Swing Bed Unit | 10 John Kissinger Dr., Wabash, IN 46992-1648 | 2006-07-18 |
| 1679173306 | Warsaw Health System LLC | Medicare Defined Swing Bed Unit | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-10-30 |
| 1356839591 | Bluffton Health System LLC | Medicare Defined Swing Bed Unit | 303 S Main St, Bluffton, IN 46714-2503 | 2018-04-24 |
| 1669991279 | Indiana University Health Jay, Inc. | Medicare Defined Swing Bed Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-14 |
| 1902331507 | Indiana University Health Frankfort Inc | Medicare Defined Swing Bed Unit | 1300 S Jackson St, Frankfort, IN 46041-3313 | 2017-04-21 |
| 1265897532 | Knox Hospital Company LLC | Medicare Defined Swing Bed Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2015-12-30 |
| 1508232075 | Franciscan Health Rensselaer, Inc. | Medicare Defined Swing Bed Unit | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2015-08-19 |
| 1386088326 | Rhn Scott Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2013-04-22 |
| 1780971234 | St Vincent Dunn Hospital Inc | Medicare Defined Swing Bed Unit | 1600 23rd St, Bedford, IN 47421-4704 | 2011-07-06 |
| 1245560705 | St Vincent Salem Hospital Inc | Medicare Defined Swing Bed Unit | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. MARY'S WARRICK HOSPITAL, INC..
| 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.