ST. VINCENT SALEM HOSPITAL, INC (NPI# 1568799732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568799732 |
Entity Type | Organization |
Organization Name | ST. VINCENT SALEM HOSPITAL, INC |
Practice Address |
911 N Shelby St Salem IN 47167-2304 |
Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
Practice Telephone | 3175833064 |
Enumeration Date | 2009-11-10 |
Last Update Date | 2009-11-10 |
Authorized Official Name | D. BRUCE HAGA (VICE PRESIDENT) |
Authorized Official Telephone | 3175833087 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Street Address |
911 N SHELBY ST |
City | SALEM |
State | IN |
Zip Code | 47167-2304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518959998 | Patricia Reed Tate | Dermatology | 911 N Shelby St, Salem, IN 47167-2304 | 2005-08-22 |
1619422466 | Kristen Michelle Hinte | Physician Assistant | 911 N Shelby St, Salem, IN 47167-2304 | 2016-08-22 |
1326451113 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 911 N Shelby St, Salem, IN 47167-2304 | 2014-06-09 |
1164856498 | Indiana Emergency Physicians, LLP | Emergency Medicine | 911 N Shelby St, Salem, IN 47167-2304 | 2013-08-22 |
1194082370 | First Urology, Psc | Urology | 911 N Shelby St, Salem, IN 47167-2304 | 2012-04-12 |
1033408257 | Indiana Physician Management-salem, LLC | Emergency Medicine | 911 N Shelby St, Salem, IN 47167-2304 | 2011-03-29 |
1245560705 | St Vincent Salem Hospital Inc | Medicare Defined Swing Bed Unit | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
1427388982 | St Vincent Salem Hospital Inc | General Acute Care Hospital | 911 N Shelby St, Salem, IN 47167-2304 | 2010-01-06 |
1497987259 | Washington County Emergency Medical Services, Inc. | Ambulance | 911 N Shelby St, Salem, IN 47167-2304 | 2009-08-12 |
1821223439 | Critical Access Health Services Corp. | Medicare Defined Swing Bed Unit | 911 N Shelby St, Salem, IN 47167-2304 | 2009-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
1407188162 | Sheila Belamour | Physical Therapy Assistant | 900 Anson Street, Salem, IN 47167 | 2010-02-05 |
1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
1689709594 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1201 N Jim Day Road, Ste 103, Salem, IN 47167 | 2007-02-22 |
1780738161 | Martin F Kennedy Dds PC | Dentist | 1600 S State Rd 135, Salem, IN 47167 | 2007-01-22 |
1114079449 | Gene F Hedrick Dds PC | Dentist | 100 North Harrison Street, Salem, IN 47167 | 2007-01-17 |
1689626038 | Kristen Ingram | Family Medicine | 1002 N Shelby St Ste 1004, Salem, IN 47167 | 2006-05-16 |
1952825564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 S Main St, Salem, IN 47167 | 2017-07-26 |
1558770370 | Ashlee Austin | Occupational Therapist | 900 Anson St, Salem, IN 47167 | 2014-08-06 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710373444 | Larry Bassinger | Family Medicine | 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 | 2015-04-09 |
1396144507 | Constance Johanson | Family Medicine | 3959 Croisan Creek Rd S, Salem, OR 97302-9474 | 2014-08-14 |
1457792699 | Sultan Seretis Bussey Hospitalist LLC | Family Medicine | 310 Route 45, Salem, NJ 08079-2064 | 2013-07-16 |
1629338470 | Derek Koller | Family Medicine | 6861 Lemongrass Loop Se, Salem, OR 97306-1474 | 2012-05-25 |
1962712927 | Paul Julian Perrin | Family Medicine | 525 Ferry St Se, Suite 203, Salem, OR 97301 | 2010-10-08 |
1326372558 | Robert Verne Bain | Family Medicine | 2280 Kuebler Road, South, Salem, OR 97302 | 2009-09-21 |
1902036320 | James A. Auerbach, M.d., P.C. | Family Medicine | 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 | 2009-07-20 |
1033347430 | Jeanette Walker | Family Medicine | 5560 Witzel Rd Se, Salem, OR 97317-9142 | 2009-06-24 |
1871747188 | Carmelle Marie Andrine Constant | Family Medicine | 84 Highland Ave Ste 309, Salem, MA 01970-2733 | 2008-11-13 |
1518127927 | Mazen I Madhoun | Family Medicine | 3737 W Main St Ste 101, Salem, VA 24153-2073 | 2008-06-10 |
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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.