St. Vincent Randolph Hospital, Inc.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

ST. VINCENT RANDOLPH HOSPITAL, INC.

Practice address

473 E Greenville Ave
Winchester, IN 47394-9436

Phone

(765) 584-0339

NPI assigned

Sep 11, 2007

Last updated

Mar 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

D. Bruce Haga

Title

Vice President

Phone

(317) 583-3087

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• HOSPITALIST PROGRAM Other name

Tax ID family

St Vincent Randolph Hospita6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• St Vincent Randolph Hospital

  dba Family Health Center of Wincheter

  • Rural Health Clinic/Center
  • Winchester, IN
  • NPI 1093708612
  NPD tax ID
• St Vincent Randolph Hospital

  dba Family and Occupational Medicine of Ridgeville

  • Rural Health Clinic/Center
  • Ridgeville, IN
  • NPI 1497748974
  NPD tax ID
• St Vincent Randolph Hospital

  dba Family and Occupational Medicine of Lynn

  • Rural Health Clinic/Center
  • Lynn, IN
  • NPI 1578556031
  NPD tax ID
• St Vincent Randolph Hospital

  dba Family Health Center of Union City

  • Rural Health Clinic/Center
  • Union City, IN
  • NPI 1821081456
  NPD tax ID
• St. Vincent Randolph Hospital, Inc

  dba Ascension St. Vincent Randolph

  • Medicare Defined Swing Bed Hospital Unit
  • Winchester, IN
  • NPI 1730130238
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1033304241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949436",
            "telephone_number": "765-584-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT RANDOLPH HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "HAGA",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3087"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2634117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITALIST PROGRAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Physician Network, LLC
• St. Vincent Physician Network, LLC
• St. Vincent Randolph Hospital, Inc (Ascension St. Vincent Randolph)
• St. Vincent Randolph Hospital, Inc. (Ascension St. Vincent Randolph)
• Elizabeth Dru Stewart, D.D.S.
• Gail F Stewart, O.D.
• Kortnie Strunk
• Alison Anne Syme, MD

• Hospitalist Physician in Winchester, IN
• Providers in Winchester, IN by specialty
• Hospitalist Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.