ST VINCENT RANDOLPH HOSPITAL (NPI# 1578556031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578556031 |
| Entity Type | Organization |
| Organization Name | ST VINCENT RANDOLPH HOSPITAL |
| Other Organization Name | FAMILY AND OCCUPATIONAL MEDICINE OF LYNN |
| Practice Address |
4 Rebel Drive Lynn IN 47355 |
| Mailing Address |
Po Box 428 Winchester IN 47394-0428 |
| Practice Telephone | 7658742390 |
| Practice Fax Number | 7655840551 |
| Mailing Telephone | 7658742390 |
| Mailing Fax Number | 7655840551 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WAYNE G DESCHAMBEAU (ADMINISTRATOR) |
| Authorized Official Telephone | 7655840141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BC/BS GROUP # | 000000105462 | 01 |
| IN | 2281141 | 05 |
| Other Name | Type Code |
|---|---|
| Family and Occupational Medicine of Lynn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821081456 | St Vincent Randolph Hospital | Clinic/Center | 900 N Columbia St, Union City, IN 47390-9496 | 2005-08-30 |
| 1093708612 | St Vincent Randolph Hospital | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-08-30 |
| 1497748974 | St Vincent Randolph Hospital | Clinic/Center | 105 E 2nd St, Ridgeville, IN 47380-1325 | 2005-08-30 |
| Street Address |
4 REBEL DRIVE |
| City | LYNN |
| State | IN |
| Zip Code | 47355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126933 | St. Vincent Physician Network, LLC | Clinic/Center | 4 Rebel Drive, Lynn, IN 47355-8947 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295137461 | Frame Family Dentistry LLC | Clinic/Center | 202 N. Main St., Lynn, IN 47355 | 2014-09-19 |
| 1487069977 | Haley Lee Frame | Dentist | 202 N Main St, Lynn, IN 47355 | 2014-06-24 |
| 1811031800 | Midwest Internists P.C. | Internal Medicine | 428 South Main Street, Lynn, IN 47355 | 2007-02-16 |
| 1689787178 | Alan Leo White | Dentist | 202 N. Main St., Lynn, IN 47355-0035 | 2006-08-17 |
| 1467833475 | Wesley Michael Frame | Dentist | 202 N Main St, Lynn, IN 47355-0035 | 2015-06-16 |
| 1689903742 | Lynn Fire Department | Non-emergency Medical Transport (VAN) | 101 E. Church St., Lynn, IN 47355-0065 | 2009-12-18 |
| 1194873331 | Joanne Mary Poole | Physical Therapist | 5908 E 1050 S, Lynn, IN 47355-8914 | 2007-01-06 |
| 1962541672 | Randolph Southern School Corporation | Local Education Agency (LEA) | 1 Rebel Dr, Lynn, IN 47355-8947 | 2007-02-06 |
| 1073688412 | St. Vincent Physician Network, LLC | Clinic/Center | 4 Rebel Dr, Lynn, IN 47355-8947 | 2006-11-21 |
| 1346370392 | Reid Physician Associates, Inc. | Family Medicine | 428 S Main St, Box 5, Lynn, IN 47355-9089 | 2007-03-07 |
| Find all providers in zip 47355 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126933 | St. Vincent Physician Network, LLC | Clinic/Center | 4 Rebel Drive, Lynn, IN 47355-8947 | 2006-09-20 |
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| 1659935781 | Rush Memorial Hospital | Clinic/Center | 201 Conrad Harcourt Way Ste A, Rushville, IN 46173-1157 | 2019-04-24 |
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| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
| 1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
| 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.