ST. VINCENT WILLIAMSPORT HOSPITAL (NPI# 1730136458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730136458 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT WILLIAMSPORT HOSPITAL |
| Other Organization Name | ST. VINCENT SOUTH CLINIC |
| Practice Address |
440 W Songer Ln Veedersburg IN 47987-8547 |
| Practice Telephone | 7652942486 |
| Mailing Telephone | 7652942486 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | TRINA MARLATT (ADMINISTRATOR) |
| Authorized Official Telephone | 7657624000 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. VINCENT WILLIAMSPORT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
050050921 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200307100B | 05 |
| Other Name | Type Code |
|---|---|
| Ascension St. Vincent Williamsport | Doing Business As Name - Organization |
| St. Vincent South Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841233061 | St. Vincent Williamsport Hospital | Clinic/Center | 1731 Ringer Lane, Williamsport, IN 47993-8900 | 2006-06-14 |
| 1427128404 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-11-08 |
| 1518913565 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT WILLIAMSPORT HOSPITAL FOUNDATION, INC. | 412 North Monroe Street, Williamsport, IN 47993 |
| Indiana Business Entities | ST. VINCENT WILLIAMSPORT HOSPITAL, INC. | 412 N Monroe St, Williamsport, IN 47993 |
| Street Address |
440 W SONGER LN |
| City | VEEDERSBURG |
| State | IN |
| Zip Code | 47987-8547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380036 | Michael R Stewart | Family Medicine | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2006-05-09 |
| 1821583931 | Rita Elaine Keeling | Nurse Practitioner | 440 W Songer Ln, Veedersburg, IN 47987 | 2018-06-30 |
| 1881139905 | Heather Renee Irelan | Nurse Practitioner | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2016-12-28 |
| 1073923942 | Danyel Schmit | Nurse Practitioner | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2014-05-01 |
| 1801102579 | Crystal June Woods | Nurse Practitioner | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2010-08-19 |
| 1720217466 | Diane Joy Gonzales Zaragoza | Family Medicine | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2009-07-02 |
| 1932384476 | Renae Lynn Norman | Nurse Practitioner | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2008-01-03 |
| 1154363497 | Kathryn Lubak | Pediatrics | 440 W Songer Ln, Veedersburg, IN 47987-8547 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588172563 | Mary Ann Koonce | Registered Nurse | 605 N. Walnut St., Veedersburg, IN 47987 | 2018-01-12 |
| 1891004917 | Faucett Chiropractic and Acupuncture | Acupuncturist | 310 W 5th St, Veedersburg, IN 47987-1156 | 2010-10-07 |
| 1811226491 | Andrea Lynn Faucett | Chiropractor | 310 W 5th St, Veedersburg, IN 47987-1156 | 2009-12-10 |
| 1326170523 | Homer W Faucett II | Dentist | 310 W 5th St, Veedersburg, IN 47987-1156 | 2007-03-12 |
| 1992814982 | Southeast Fountain School Corporation | Local Education Agency (LEA) | 744 E Us Highway 136, Veedersburg, IN 47987-8106 | 2006-08-30 |
| 1164874780 | Respiratory Care and Rehabilitation Associates, LLC | Respiratory Therapist, Certified | 2009 S 100 W, Veedersburg, IN 47987-8150 | 2016-07-07 |
| 1881143121 | Dane L Maltsberger | Respiratory Therapist, Registered | 2009 S 100 W, Veedersburg, IN 47987-8150 | 2016-09-28 |
| 1932281896 | Tender Care Mobile X-ray Comp., Inc | Radiologic Technologist | 1278 E Division Rd, Veedersburg, IN 47987-8307 | 2006-10-20 |
| 1598835076 | Fountain County Auditor | Ambulance | 409 East 50 South, Veedersburg, IN 47987-8542 | 2006-11-09 |
| 1285661447 | Tahir Hafeez | Internal Medicine | 440 West Songer Lane, Veedersburg, IN 47987-8547 | 2006-06-26 |
| Find all providers in zip 47987 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841233061 | St. Vincent Williamsport Hospital | Clinic/Center | 1731 Ringer Lane, Williamsport, IN 47993-8900 | 2006-06-14 |
| City | VEEDERSBURG |
| Zip Code | 47987 |
Please comment or provide details below to improve the information on ST. VINCENT WILLIAMSPORT HOSPITAL.
| 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.