WARRICK HOSPITAL INC (NPI# 1508026402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508026402 |
| Entity Type | Organization |
| Organization Name | WARRICK HOSPITAL INC |
| Other Organization Name | ER PHYSICIANS GROUP |
| Practice Address |
1116 Millis Ave Boonville IN 47601-2226 |
| 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 | 2008-06-13 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | MRS. CAROL GODSEY (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 |
07-005111-1 | IN | Hospitals |
| N | 207P00000X | Emergency Medicine | 07-005111-1 | IN | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CHAMPUS | I013944 | 01 |
| KY | 1341114 | 05 | |
| IN | 200043160 | 05 | |
| IN | FEDERAL BLACK LUNG | 032184200 | 01 |
| IN | BLUE CROSS BLUE SHIELD | 000000054351 | 01 |
| IN | MEDICARE GROUP | 941440 | 01 |
| Other Name | Type Code |
|---|---|
| ER Physicians Group | Other Name - Individual/Organization |
| Street Address |
1116 MILLIS AVE |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601-2226 |
| 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 |
| 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 |
| 1770681694 | Carl Linge | Radiology | 1116 Millis Ave, Boonville, IN 47601-2242 | 2006-09-21 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417180308 | Keith A Phillips | Radiology | 1116 Millis Ave, Boonville, IN 47601-2226 | 2009-08-26 |
| 1770681694 | Carl Linge | Radiology | 1116 Millis Ave, Boonville, IN 47601-2242 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
| 1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
| 1922594225 | Lutheran Health Imaging LLC | Radiology | 1700 Alber St Ste 103, Wabash, IN 46992-1015 | 2018-07-10 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
| 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.