ST. MARY'S WARRICK HOSPITAL, INC. (NPI# 1205828803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205828803 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S WARRICK HOSPITAL, INC. |
| Other Organization Name | ASCENSION ST. VINCENT WARRICK |
| Practice Address |
1116 Millis Ave Boonville IN 47601-2204 |
| Practice Telephone | 8128974800 |
| Practice Fax Number | 8128977375 |
| Mailing Telephone | 8128974800 |
| Mailing Fax Number | 8128977375 |
| Enumeration Date | 2005-08-19 |
| 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 |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
05-005111-2 | IN | Hospitals |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHAMPUS | I013944 | 01 | |
| FEDERAL BLACK LUNG | 032184200 | 01 | |
| ANTHEM BLUE CROSS | 000000054341 | 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 |
|---|---|---|---|---|
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| Street Address |
1116 MILLIS AVE |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707103 | Josel V Mijares | Emergency Medicine | 1116 Millis Ave, Boonville, IN 47601-2226 | 2005-06-01 |
| 1417180308 | Keith A Phillips | Radiology | 1116 Millis Ave, Boonville, IN 47601-2226 | 2009-08-26 |
| 1235389321 | Family Counseling Service, LLC | Social Worker | 1116 Millis Ave, Boonville, IN 47601-2226 | 2008-09-24 |
| 1508026402 | Warrick Hospital Inc | General Acute Care Hospital | 1116 Millis Ave, Boonville, IN 47601-2226 | 2008-06-13 |
| 1538328620 | Bhargavi Mandipalle | Family Medicine | 1116 Millis Ave, Ste 101, Boonville, IN 47601-2292 | 2008-06-04 |
| 1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
| 1679796874 | Ohio Valley Eye Institute | Optometrist | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-04-10 |
| 1831221597 | Robin Laine | Dietitian, Registered | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-03-09 |
| 1962533729 | Janelle R Weatherholt | Dietitian, Registered | 1116 Millis Ave, Boonville, IN 47601-2242 | 2007-03-07 |
| 1053478495 | Heidi M Dunniway | Otolaryngology | 1116 Millis Ave, Boonville, IN 47601-2204 | 2007-01-03 |
| Find all providers in the same location | ||||
| 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 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| 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 |
| Find all providers in zip 47601 | ||||
| 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 |
|---|---|---|---|---|
| 1508026402 | Warrick Hospital Inc | General Acute Care Hospital | 1116 Millis Ave, Boonville, IN 47601-2226 | 2008-06-13 |
| 1588666390 | St. Mary's Warrick Hospital, Inc | General Acute Care Hospital | 1116 Millis Ave, Boonville, IN 47601-2242 | 2005-08-11 |
| 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 | ||||
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| 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.